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Case Reports
. 2019 Aug;98(31):e16691.
doi: 10.1097/MD.0000000000016691.

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

Anlong Wang  1 , Yefei Shu  2
Affiliations
Case Reports

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

Anlong Wang et al. Medicine (Baltimore). 2019 Aug.

Abstract

Introduction: Mature 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 concerns: Herein, we report a 38-year old woman who was admitted to our hospital presenting with an abdominal mass and abdominal pain.

Diagnosis: Ultrasonography revealed a giant cystic mass in the pelvis; T1-weighted MRI revealed multiple spherical signals in the lesion.

Interventions: She underwent exploratory laparotomy and was histopathologically diagnosed with benign cystic teratoma.

Outcomes: Finally, the patient recovered after operation. Until December 2018, she had been still healthy without recurrence of tumors.

Conclusion: The 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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Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Figure 1
Figure 1
(A) Computed tomography. (B) T1-weighted image (T1WI) on horizontal position scanning. (C) T2-weighted image (T2WI) on horizontal position scanning. (D) T2WI with fat suppression on horizontal position scanning. (E) T2WI with fat suppression on sagittal position scanning. (F) Contrast-enhanced T1WI with fat suppression on sagittal position scanning. CT = computed tomography, T1WI = T1-weighted image, T2WI = T2-weighted image.
See this image and copyright information in PMC

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