Spontaneously ruptured endometrioma associated with endometrioid adenocarcinoma: MR findings
Eito Kozawa1, Yuka Matsuo, Kousei Hasegawa
1Department of Diagnostic Imaging, Saitama Medical University, International Medical Center, Hidaka-shi, SAitama, Japan. 8kozawa@saitama-med.ac.jp
Abstract:
A 38-year-old woman was transferred to the hospital with lower abdominal pain. Magnetic resonance (MR) imaging revealed an irregular ovarian wall with a solid component and a fluid-fluid level in the cystic mass and the pelvic space, which was thought to be pathognomonic for the rupture of an endometrioma with a malignant ovarian tumor. Histologic examination following adnexectomy revealed a ruptured endometrioma associated with endometrioid adenocarcinoma. A fluid-fluid level in the cystic mass and pelvic space may be pathognomonic MRI feature for a rupture of either an endometrioma or an endometrioma with a malignant tumor.
