Ovarian cyst

Case contributed by Dr Ruslan Esedov

Presentation

A young girl presented with abdominal lump

Patient Data

Age: 18
Gender: Female
Modality: CT

A large abdomiopelvic cystic mass lesion is seen, with fluid attenuation contents within. No obvious solid area, septations or calcifications are noted within. Mass appears to be intraperitoneal, and seen to displace retroperitoneal structures, like pancreas and kidneys posteriorly. Right ovary could not be visualized separately. However, left ovary is seen separate from the lesion.

Mass effect in the form of compression of bowel loops and right hydronephrosis is also seen.

Case Discussion

Provisional diagnosis of large simple ovarian cyst was considered, in view of abdomopelvic mass in female, and non-visualization of right ovary separately.

Differential considerations:

  1. Hydatid cyst
  2. Omental cyst
  3. Pseudopancreatic cyst
  4. Duplication cyst

Final diagnosis and follow-up: Operative and histopathological diagnosis of right ovarian simple cyst was made. 20 litres of fluid was drained intra-operatively.

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Case Information

rID: 9483
Case created: 23rd Apr 2010
Last edited: 3rd Dec 2015
System: Urogenital
Inclusion in quiz mode: Included

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