Answer of May 2002

 

Clinical History:


F/83 Abdominal pain and distension.


Figure 1 Chest Radiograph

Figure 2 Abdomen with contrast

Figure 3 Pelvis with contrast



                                Figure 1


                                Figure 2


                                Figure 3

 

Diagnosis:


Right ovary leiomyoma.


DIFFERENTIAL DIAGNOSIS :


Pseudomyxoma peritonei, ovarian mucinous cystadenoma/carcinoma, undifferentiated abdominal malignancy, hydrated cyst.


Discussion:


Figure 1 Abdominal radiograph - Diffuse irregular abdominal and pelvic calcifications.

Figure 2 CT Abdomen (contrast) - Huge abdominal and pelvic mass of soft tissue density and multiple dense irregular calcifications. Mass effect with displacement of bowel loops anteriorly and laterally; urinary bladder anteriorly.

Figure 3 CT Abdomen (contrast) - Huge abdominal and pelvic mass of soft tissue density and multiple dense irregular calcifications. Mass effect with displacement of bowel loops anteriorly and laterally; urinary bladder anteriorly.