Presentation
Severe lower abdominal pain and tenderness. No leukocytosis.
Patient Data
Age: 30 years
Gender: Female
From the case:
Mature ovarian teratoma - bilateral
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/49026/annotated_viewer_json?lang=us"}
- Both ovaries are enlarged by heterogeneous masses with prominent fatty component, within which multiple hyperdense foci are seen.
- There is a walled-off blood density material at the right adnexa.
- The ovaries contain multiple follicles arranged at their periphery.
- No free pelvic fluid.
- Fat planes are not obliterated.
Case Discussion
The identification of macroscopic fat and macro-calcifications within an adnexal lesion is highly suggestive of ovarian teratoma. It is bilateral in about 15% of the patients.