Ruptured ovarian endometrioma with hemoperitoneum

Case contributed by Dr Ammar Haouimi

Presentation

Acute pelvic pain.

Patient Data

Age: 25 years
Gender: Female

There is a large well-defined cystic mass measuring 16 x 11 x 7 cm, arising from the left ovary. It elicits a high signal on T1 and T1 fat sat with T2 shading and no enhancement seen on postcontrast sequences. 

Intraperitoneal effusion of high signal on T1 in keeping with a hemoperitoneum.

Annotated images:

  • yellow arrows: indicate the left ovary

Case Discussion

MRI features are suggestive of a ruptured large ovarian endometrioma with haemopeitoneum which was confirmed at surgery with no signs of ovarian torsion.

 

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