DOI: 10.1097/RUQ.0b013e3182a0adad
,
,
PMID: 23975051
Issn Print: 0894-8771
Publication Date: 2013/09/01
The Expected and Unexpected: Incidental Discovery of an Ovarian Mass With Acute Appendicitis
Excerpt
A 14-year-old girl presented to the emergency department with several hours of worsening right-lower-quadrant pain, low-grade fever, and mild nausea. She was otherwise healthy and took no medications. Complete blood count, pregnancy test, and basic metabolic profile were within reference range. An ultrasound of the pelvis and right lower quadrant and computed tomography (CT) scan of the abdomen and pelvis were performed. The studies revealed a dilated, noncompressible, fluid-filled appendix with a small amount of free fluid and adjacent fat stranding. Incidentally found was a large 5- to 6-cm ovoid mass in the right adnexal region. The patient was evaluated by general surgery for acute appendicitis and taken to the operating room for appendectomy. At surgery, acute appendicitis was confirmed, and a large, smooth-walled, well-circumscribed mass was identified in the right adnexa. Resection of the adnexal mass was deferred to gynecologic oncology.
Tumor markers including CA-125, α-fetoprotein, and carcinoembryonic antigen were negative. A month after the appendectomy, the patient returned to the operating room for right oophorectomy, and the final diagnosis of sclerosing stromal tumor of the ovary was made. The patient did well with resolution of symptoms and normal menstruation.
Facebook
Twitter
LinkedIn
Email
