• Medicine · Aug 2019

    Case Reports

    Mature ovarian cystic teratoma with "sack of marbles" appearance on magnetic resonance imaging: A case report.

    • Anlong Wang and Yefei Shu.
    • Department of Radiology.
    • Medicine (Baltimore). 2019 Aug 1; 98 (31): e16691.

    IntroductionMature ovarian cystic teratoma is a cystic fatty tumor. Presence of floating fat balls in an ovarian cystic teratoma looking like a "sack of marbles" on magnetic resonance imaging (MRI) is a rare finding.Patient ConcernsHerein, we report a 38-year old woman who was admitted to our hospital presenting with an abdominal mass and abdominal pain.DiagnosisUltrasonography revealed a giant cystic mass in the pelvis; T1-weighted MRI revealed multiple spherical signals in the lesion.InterventionsShe underwent exploratory laparotomy and was histopathologically diagnosed with benign cystic teratoma.OutcomesFinally, the patient recovered after operation. Until December 2018, she had been still healthy without recurrence of tumors.ConclusionThe aim of this case report was to present "sack of marbles" appearance on MRI, which will impress other doctors and improve the diagnosis of such diseases.

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