EURORAD ESR

Case 10325

Giant ovarian cyst

Author(s)
Elton Cekaj1, Renato Osmënaj2, Ilir Shani3

(1) Regional Hospital of Durrës, Albania
(2) University Hospital Center "Mother Tereza" of Tirana, Albania
(3) surgeon, Regional Hospital of Durrës, Albania
 
Patient
female, 16 year(s)
 
 
  • Figure 1
    multiplanar view

    Note the huge cystic mass occupying the whole abdomen and pelvis. Attenuation leads to cystic mass.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;
     
     
  • Figure 2
    origin from the pelvis

    Note that the huge cyst originates from the pelvis, probably right ovary since it is not visualized.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;
     
     
  • Figure 3
    left ovary

    Left ovary was identified by the presence of a small cyst

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;
     
     
  • Figure 4
    coronal and sagital views
     

    Coronal view. Huge cystic mass from diaphragm to pelvis minor.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;

    Sagittal view of the pelvic cystic mass.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;
     
     
  • Figure 5
    arterial phase aspect
     

    It had no attenuation from the CM. 5a and 5b are two of few images acquired during the arterial phase because of the interruption due to CM adverse reaction the patient suffered.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;

    As you can see the cystic lesion is not attenuated by CM.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;
     
     
  • Figure 6
    macroscopic view of the mass
     

    Originated from the right ovary. As you can see, the capsule is well infiltrated by fat.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Surgery; Special Focus: Cysts;

    In op real size cystic mass. More than the half of its capsule is infiltrated by the fat well seen with the naked eye

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Surgery; Special Focus: Cysts;
     
     
Note the huge cystic mass occupying the whole abdomen and pelvis. Attenuation leads to cystic mass.
 
Note that the huge cyst originates from the pelvis, probably right ovary since it is not visualized.
 
Left ovary was identified by the presence of a small cyst
 
Coronal view. Huge cystic mass from diaphragm to pelvis minor.
 
Sagittal view of the pelvic cystic mass.
 
It had no attenuation from the CM. 5a and 5b are two of few images acquired during the arterial phase because of the interruption due to CM adverse reaction the patient suffered.
 
As you can see the cystic lesion is not attenuated by CM.
 
Originated from the right ovary. As you can see, the capsule is well infiltrated by fat.
 
In op real size cystic mass. More than the half of its capsule is infiltrated by the fat well seen with the naked eye
 
 
 
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