Case History: A postmenopausal woman in her 50s presented with pelvic pain over the span of a month and light spotting for one week.
Patient mentioned feeling more bloated in her pelvis than normal.
Figure 1A. Transabdominal images of the long left adnexa with left ovary demonstrating the maximum length of the mostly cystic, debris filled mass and its location in relationship to left ovary.
Figure 1B. Transabdominal images of the long left adnexa with left ovary demonstrating the maximum length of the mostly cystic, debris filled mass and its location in relationship to left ovary.
Figure 2. Transabdominal axial view of the left adnexa showing the large cystic portion without visualization of ovarian tissue.
Figure 3. Transvaginal axial view of the left ovary demonstrating blood flow in and around the ovarian tissue.
Diagnosis: Poorly differentiated clear cell carcinoma and endometrioma of the left ovary
The ovary itself was difficult to differentiate from the mass.
The patient then had a full hysterectomy and bilateral salpingo-oophorectomy.
