Open AccessConcurrent, Bilateral Presentation of Immature and Mature Ovarian Teratomas with Refractory Hyponatremia: A Case Report
Author(s) -
Ali S. Tejani,
Lin He,
Wenxin Zheng,
Kanupriya Vijay
Publication year - 2020
Publication title -
journal of clinical imaging science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.279
H-Index - 18
eISSN - 2156-7514
pISSN - 2156-5597
DOI - 10.25259/jcis_13_2020
Subject(s) - medicine , histopathology , hyponatremia , ovarian teratoma , ascites , pelvis , presentation (obstetrics) , abdomen , immature teratoma , teratoma , radiology , refractory (planetary science) , abdominal pain , germ cell tumors , pathology , surgery , chemotherapy , physics , astrobiology
We present the imaging and histopathological findings in a 32-year-old female who presented to the erectile dysfunction with progressively worsening abdominal pain over the past 2 months. Computed tomography abdomen and pelvis revealed bilateral ovarian teratomas, left significantly larger than right. There was associated fat stranding, mesenteric/omental stranding, and ascites worrisome for rupture versus peritoneal carcinomatosis. Histopathology confirmed a left immature teratoma (Grade 2), right mature teratoma, and peritoneal gliomatosis from possible tumor rupture before surgery.