Presentation
Abdominopelvic pain and distention.
Patient Data
There is a 350 × 330 × 230 mm abdominopelvic cystic mass, with fluid attenuation contents within. No obvious solid area, septations, or calcification in the cystic lesion. The lesion appears to be intraperitoneal and displaces retroperitoneal structures like the pancreas and kidneys posteriorly. The ovaries cannot be defined separate from the cyst.
The hepatic attenuation value is less than that of the spleen, suggesting fatty liver. There is a low-attenuation hepatic lesion measuring 30 × 20 mm in the 4th hepatic segment (Couinaud`s nomenclature), revealing early peripheral, nodular enhancement and centripetal filling.
Case Discussion
Huge abdominopelvic cystic lesion: path proven ovarian serous cystadenoma.
Hepatic mass: compatible with a hemangioma.
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