Ovarian cyst

Case contributed by Dr Saleh Saleh

Presentation

Acute onset of intense right-sided abdominal pain. History of giving birth 1 week ago. Referred for an ultrasound to exclude cholecystitis.

Patient Data

Age: 30 years
Gender: Female
Ultrasound

No signs of cholecystitis; the gallbladder is thin-walled, not irritated. No stones within and no surrounding inflamed tissue.

Ultrasound

If the radiologist had looked carefully in addition to the gall bladder, he/she could have noticed the hypoechoic change inferomedially to the gallbladder.

CT

A unilocular cystic mass with a mildly enhancing wall consistent with an ovarian cyst.

Case Discussion

Radiologist examined only the gallbladder and liver area trying to answer the single question which the referring physician had written, namely cholecystitis, but the radiologist should examine the entire abdomen of the patient to rule out other causes of the acute abdomen.

The patient was escalated to CT Abdomen as acute abdomen didn't subside. CT scan showed an ovarian cyst which could have been detected at the first ultrasound examination, and could have saved much time, money, and radiation.

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Case information

rID: 14463
Published: 27th Jul 2011
Last edited: 6th Apr 2020
System: Urogenital
Inclusion in quiz mode: Included

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