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Dural ectasia presenting as an adnexal mass
1Department of Obstetrics and Gynecology, Naval Medical Center, Portsmouth, Virginia, USA.
Obstetrics and Gynecology
|October 1, 1996
Summary
Dural ectasia, a rare condition involving the sacrum, can mimic an adnexal mass in women. This case highlights the importance of considering neurologic conditions in pelvic mass diagnoses.
Area of Science:
- Neurology
- Gynecologic Oncology
- Radiology
Background:
- Dural ectasia, particularly sacral involvement, is an uncommon condition.
- Adnexal masses are frequently encountered in women's health, necessitating accurate diagnosis.
Observation:
- A postmenopausal woman presented with a complex adnexal mass.
- Imaging revealed retroperitoneal cystic masses attached to the sacrum.
- Further MRI confirmed multilevel dural ectasia extending into the pelvis.
Findings:
- The patient had bilateral retroperitoneal cystic masses associated with sacral dural ectasia.
- The dural ectasia involved the ventral sacral foramina, extending into the pelvis.
Implications:
- Dural ectasia should be included in the differential diagnosis for pelvic masses.
- This case underscores the importance of multidisciplinary evaluation for complex pelvic pathologies.
- Advanced imaging is crucial for diagnosing rare conditions like sacral dural ectasia presenting as adnexal masses.