IMR Press / CEOG / Volume 35 / Issue 4 / pii/1630639221276-307943301

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Case Report
Serous cystadenoma with omental caking and ovarian torsion: an unusual case presentation
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1 Department of Obstetrics and Gynecology
2 Brody School of Medicine at East Carolina University, Greenville, NC (USA)
Clin. Exp. Obstet. Gynecol. 2008, 35(4), 287–288;
Published: 10 December 2008
Abstract

Background: This case evaluates a patient with abdominal pain who presented with a pelvic mass and imaging studies suspicious for malignancy. Case: A 21-year-old, gravida 0, para 0, was admitted after presenting to the outpatient with abdominal pain. Ultrasound revealed a large 17 x 20 cm pelvic mass with solid and cystic components. CT scan revealed worrisome findings including the finding of “omental caking” and nodal enlargement. CA 125 was elevated at 85 U/ml. Final pathology after surgical removal of the mass showed evidence of serous cystadenoma with ovarian torsion without signs of malignancy. The patient had an unremarkable postoperative course and was discharged in stable condition. Conclusion: Although uncommon, pelvic masses that are benign may mimic malignant masses with extradnexal inflammation.
Keywords
Serous cystadenoma
Omental caking
Torsion
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