Ovarian dermoid

Case contributed by Dr Utkarsh Kabra

Presentation

Pain, and infertility.

Patient Data

Age: 35 years
Gender: Female
MRI

Pelvis

Altered signal intensity lesion containing fat with hemorrhage/calcification in the left adnexa. Left ovary is not visualized separately. Fat component suppresses on STIR/T1 fat sat images. 

Case Discussion

Altered signal intensity lesion containing fat with hemorrhage/calcification in the left adnexa. Left ovary is not visualized separately. Care must be taken to differentiate such lesions from endometriomas as they often appear hypointense on STIR images. Hence, T1 fat sat sequences are of utmost importance to differentiate between hemorrhage and fat.

Above findings are suggestive of left ovarian dermoid (mature cystic teratoma).

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Case information

rID: 69606
Published: 16th Jul 2019
Last edited: 14th Aug 2019
System: Gynaecology
Inclusion in quiz mode: Included
Institution: Getwell Poly Clinic & Hospital

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