Presentation
Pelvic pain.
Patient Data
RIght adnexal thin-walled cyst with T1 hyperintense and T2 heterogeneous shading signal content. Finding compatible with cyst with blood content, in first hypothesis endometrioma.
Pathological anatomy report (resumed and translated from Italian):
Macroscopic: whitish parietal flap 11x5cm with a superficial hematic suffusion
Microscopic: parietal flap lined by endometrial epithelium, supported by thin rhyme of cytogenic stroma.
Conclusion: Finding typical of endometriotic cyst
Case Discussion
Classic imaging features of endometrioma, whose diagnosis is supported by the shading sign, which consists of a predominantly low heterogeneous signal in T2-weighted sequences.
The cyst became complicated with ovarian subtorsion and was removed laparoscopically.
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