Ovarian dermoid cyst

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Pelvic pain and menstrual irregularity.

Patient Data

Age: 35 years
Gender: Female
mri

There is a 5 x 6 x 7 cm large complex mass with two components at the left adnexa, the main component is of high signal on T1WI/T2WI, attenuated on fat-saturated sequences (fatty component) and mural nodule (3 x 4 x 4.5 cm) of inhomogeneous high signal on both T1WI/T2WI with attenuation of the fatty component on fat-saturated sequences (Rokitansky nodule).

Normal appearance of the right ovary.

Case Discussion

Typical appearance of a mature cystic ovarian teratoma with a Rokitansky nodule.

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