Ovarian dermoid presenting as unilateral obstructive uropathy.

نویسندگان

  • Sankar Neelakantan
  • Ravikanth Reddy
  • Anil Kumar Swamy
چکیده

To cite: Neelakantan S, Reddy R, Swamy AK. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016216878 DESCRIPTION A 17-year-old female patient presented to the emergency department with history of intermittent right sided colicky abdominal pain and nausea since 3 weeks. Urine analysis revealed no evidence of infection. She was referred for imaging workup, which included an abdominal ultrasound examination that revealed right sided mild hydroureteronephrosis, but the distal ureter could not be visualised due to poor acoustic window. However, a vague right adenexal cystic lesion (figure 1) was noted and a CT scan was advised to characterise the lesion and to assess the cause for the obstructive uropathy. CT scan of the abdomen and pelvis was performed which revealed a well-defined right adenexal lesion with intralesional fat (hounsfield unit (HU) −90) and calcification involving the right ovary which was diagnosed as an ovarian dermoid. The right ovarian dermoid was noted adjacent to the distal ureter causing its compression, resulting in right sided hydroureteronephrosis. No intraluminal ureteric calculi were noted (figures 2–4). The dermoid cyst was surgically confirmed and patient underwent a right oophorectomy following which the patient’s symptoms completely resolved. Histopathology of the lesion confirmed that it was an ovarian dermoid.

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عنوان ژورنال:
  • BMJ case reports

دوره 2016  شماره 

صفحات  -

تاریخ انتشار 2016