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Mature Cystic Teratoma

Carlson CLC - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Mature Cystic Teratoma

History: 18 y.o. girl with distension of abdomen for 3 years, abdominal discomfort and reflux symptoms for 1-2 years.

Findings: Frontal abdominal radiographs demonstrated a well formed calcification in the left upper quadrant. A follow up CT scan revealed a 23x16x27cm cystic mass in the abdomen containing a focus of calcification and adjacent fat. The mass appeared to arise from the right ovary, ascending from the pelvis and pulling the right broad ligament, in turn causing rightward deviation of the uterus. A smaller left ovarian teratoma, measuring 4.0x3.7cm was seen to contain a larger fat content. All other abdominopelvic organs were displaced, but normal.

Ddx: Dermoid, cystadenocarcinoma, abscess, endometriosis, any germ cell or other ovarian solid or cystic tumor.

Dxhow: Surgery, Histology

Exam: Firm distension of upper abdomen.

No MeSH data available.


Frontal abdominal radiograph.  A well formed calcification resembling teeth is present in the left upper quadrant overlying the psoas stripe adjacent to L3.  A CT scan was recommended for further characterization.  Neither a soft tissue or cystic mass, nor fat foci were seen on the initial plain films.
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MPX2524_synpic17733: Frontal abdominal radiograph. A well formed calcification resembling teeth is present in the left upper quadrant overlying the psoas stripe adjacent to L3. A CT scan was recommended for further characterization. Neither a soft tissue or cystic mass, nor fat foci were seen on the initial plain films.


Mature Cystic Teratoma

Carlson CLC - MedPix

Frontal abdominal radiograph.  A well formed calcification resembling teeth is present in the left upper quadrant overlying the psoas stripe adjacent to L3.  A CT scan was recommended for further characterization.  Neither a soft tissue or cystic mass, nor fat foci were seen on the initial plain films.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2524&req=5

MPX2524_synpic17733: Frontal abdominal radiograph. A well formed calcification resembling teeth is present in the left upper quadrant overlying the psoas stripe adjacent to L3. A CT scan was recommended for further characterization. Neither a soft tissue or cystic mass, nor fat foci were seen on the initial plain films.

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Mature Cystic Teratoma

History: 18 y.o. girl with distension of abdomen for 3 years, abdominal discomfort and reflux symptoms for 1-2 years.

Findings: Frontal abdominal radiographs demonstrated a well formed calcification in the left upper quadrant. A follow up CT scan revealed a 23x16x27cm cystic mass in the abdomen containing a focus of calcification and adjacent fat. The mass appeared to arise from the right ovary, ascending from the pelvis and pulling the right broad ligament, in turn causing rightward deviation of the uterus. A smaller left ovarian teratoma, measuring 4.0x3.7cm was seen to contain a larger fat content. All other abdominopelvic organs were displaced, but normal.

Ddx: Dermoid, cystadenocarcinoma, abscess, endometriosis, any germ cell or other ovarian solid or cystic tumor.

Dxhow: Surgery, Histology

Exam: Firm distension of upper abdomen.

No MeSH data available.