EURORAD ESR

Case 12518

A rare and acute presentation of endometriosis

Author(s)
Pedro Santos, Manuel Abecasis, Isabel Távora

Hospital Santa Maria;
Avenida Professor Egas Moniz
1600 Lisboa, Portugal;
Email:pedrofrsantos@gmail.com
 
Patient
female, 43 year(s)
 
 
  • Figure 1
    Ultrasound

    Axial ultrasound, left pelvic cavity. Large cyst with discrete echogenic material and small mural nodule (green arrow).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Abscess;
     
     
  • Figure 2
    Ultrasound

    Axial ultrasound, left pelvic cavity. Some small hyperechoic foci with non-pure posterior shadow in non-dependent portion of the cyst, suggestive of gas bubbles (green arrow).

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

    Unenhanced axial CT. The cyst demonstrates moderately dense content suggesting hemorrhagic material, as well as some small gas bubbles.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Abscess;
     
     
  • Figure 4
    CT

    Contrast-enhanced axial CT. After constrast administration, the large cyst demonstrates a thick and hyperenhancing wall. Discrete stranding of surrounding fat is also seen (green arrow).

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

    Contrast-enhanced sagittal CT. The relationship of the cyst with the uterus is demonstrated, and left ovarian parenchyma (green arrow) is also appreciated.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Abscess;
     
     
Axial ultrasound, left pelvic cavity. Large cyst with discrete echogenic material and small mural nodule (green arrow).
 
Axial ultrasound, left pelvic cavity. Some small hyperechoic foci with non-pure posterior shadow in non-dependent portion of the cyst, suggestive of gas bubbles (green arrow).
 
Unenhanced axial CT. The cyst demonstrates moderately dense content suggesting hemorrhagic material, as well as some small gas bubbles.
 
Contrast-enhanced axial CT. After constrast administration, the large cyst demonstrates a thick and hyperenhancing wall. Discrete stranding of surrounding fat is also seen (green arrow).
 
Contrast-enhanced sagittal CT. The relationship of the cyst with the uterus is demonstrated, and left ovarian parenchyma (green arrow) is also appreciated.
 
 
 
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