Ovarian dermoid

Case contributed by A.Prof Frank Gaillard

Presentation

Presented to the emergency room with abdominal pain, radiating to the groin.

Patient Data

Age: 50 years
Gender: Female
X-ray

Plain film KUB

Plain film KUB does not demonstrate a convincing ureteric calculus. In the pelvis a large calcified focus is present along with a couple of phleboliths. 

CT

CT KUB

Slightly to the right of the midline, between the uterus and rectum is a rounded mass predominantly of fat density of the right and fluid density of the left with a large calcified focus in the center. 

A small ureteric calculus was seen in the upper ureter (not shown). 

Ultrasound

Pelvic ultrasound

Ultrasound confirms the presence of a mass which has an echogenic attenuating component consistent with fat. 

Case Discussion

This case demonstrates typical multi-modality appearances of a mature ovarian dermoid cyst / teratoma containing in this case a tooth. 

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Case information

rID: 17066
Case created: 14th Mar 2012
Last edited: 6th Nov 2015
System: Gynaecology
Tag: ovary
Inclusion in quiz mode: Included

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