Upright radiograph of the abdomen
Genital (female) imaging
Case TypeClinical Cases
AuthorsE. Uysal, M. Basak, S. Aktas
Patient50 years, female
Two clinical presentations are associated with the intraperitoneal rupture of benign cystic teratomas. The first is acute peritonitis caused by sudden rupture of tumour contents, which may occur spontaneously or more commonly in association with torsion, trauma, infection, or labour. The second presentation is chronic granulomatous peritonitis resulting from a chronically leaking dermoid, which can be characterised by multiple small white peritoneal implants and dense adhesions, and variable ascites that simulate carcinomatosis or tuberculosis peritonitis.
In this case, a CT scan revealed a 5cm x 5cm x 6cm right adnexal mass of fat attenuation with some air bubbles inside the lesion. Calcification was not detected. Additionally, there was a right-sided large intra-abdominal abscess which compressed adjacent small bowel loops. There was also fluid collection in bilateral paracolic gutters and between the mesenteric leaflets.
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URL: | https://www.eurorad.org/case/1582 |
DOI: | 10.1594/EURORAD/CASE.1582 |
ISSN: | 1563-4086 |