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Medicine (Baltimore). 2019 Aug;98(31):e16691. doi: 10.1097/MD.0000000000016691.

Mature ovarian cystic teratoma with "sack of marbles" appearance on magnetic resonance imaging: A case report.

Author information

1
Department of Radiology.
2
Department of Oncology and Hematology, Zhejiang Provincial Integrated Chinese and Western Medicine Hospital, Hangzhou Red Cross Hospital, Hangzhou, China.

Abstract

INTRODUCTION:

Mature ovarian cystic teratoma is a cystic fatty tumor. Presence of floating fat balls in an ovarian cystic teratoma looking like a "sack of marbles" on magnetic resonance imaging (MRI) is a rare finding.

PATIENT CONCERNS:

Herein, we report a 38-year old woman who was admitted to our hospital presenting with an abdominal mass and abdominal pain.

DIAGNOSIS:

Ultrasonography revealed a giant cystic mass in the pelvis; T1-weighted MRI revealed multiple spherical signals in the lesion.

INTERVENTIONS:

She underwent exploratory laparotomy and was histopathologically diagnosed with benign cystic teratoma.

OUTCOMES:

Finally, the patient recovered after operation. Until December 2018, she had been still healthy without recurrence of tumors.

CONCLUSION:

The aim of this case report was to present "sack of marbles" appearance on MRI, which will impress other doctors and improve the diagnosis of such diseases.

PMID:
31374057
PMCID:
PMC6709083
DOI:
10.1097/MD.0000000000016691
[Indexed for MEDLINE]
Free PMC Article

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