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.