EP11.24: Mesonephric‐like adenocarcinoma of the ovary: ultrasound presentation – large solid adnexal mass with metastatic disease
Year: 2026
Type: conference-abstract
Abstract: A 44-year-old woman presented to the internal medicine emergency department with chronic abdominal pain and progressive abdominal distension lasting several months.Laboratory tests showed elevated liver transaminases.Gynecological examination was not performed due to lack of consent (virgo).Transabdominal ultrasound revealed a large cystic mass arising from the genital tract, extending cranially to the xiphoid process, measuring 21.9 × 10.5 cm.The mass was also palpable on physical examination.Both kidneys appeared normal, with no evidence of hydronephrosis.Contrast-enhanced computed tomography demonstrated a large cystic mass extending from the pelvis to the left hepatic lobe (22 × 13 × 25 cm) with an enhancing wall and free fluid around the liver, spleen and in Morrison's pouch.The mass displaced the intestinal loops.Additionally, a second heterogeneous mass was identified in the region of the left ovary (8.5 × 6.6 × 5.7 cm) with hypodense areas and peripheral enhancement.The patient underwent total hysterectomy with bilateral salpingo-oophorectomy and removal of both ovarian tumors.Histopathological examination revealed bilateral serous ovarian carcinoma.This case highlights the key role of ultrasonography in the initial detection of extensive abdominopelvic malignancies and in guiding further diagnostic management.
Authors: D. Djokovic, M.D. Bernardo
Language: English
Subfield: Oncology
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W7204772136