Presentation
Abdominopelvic pain and progressive distension.
Patient Data
A 182×137×158 mm thick walled septate cystic lesion with enhancing solid components is present at the left adnexa that extends superiorly until the level of the renal hilum. The mass displaces bowel loops.
Mild to moderate abdominopelvic ascites is present, accompanied by omental strands.
In addition, an 85×48 mm tubular cystic lesion is observed in the RLQ that adhered to the caecal base, most consistent with appendiceal mucocoele.
The uterus is enlarged and contains a few small fibroids.
The hepatic attenuation value is less than that of the spleen, suggesting fatty liver.
A few stones are seen in the gallbladder, less than 10 mm.
A 7 mm stone is present at the upper calyx of the left kidney.
Case Discussion
Left adnexal complex cystic mass; pathology proved ovarian serous cystadenocarcinoma, the malignant form of ovarian serous tumour and the most common type of ovarian epithelial tumour. It is the most common type of ovarian malignancy.
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