Images in Clinical Radiology
 

By Prof. Tae-Hee Kim , Prof. Hae-hyeog Lee , Prof. Soo-ho Chung , Dr. Wooseok Lee
Corresponding Author Prof. Hae-hyeog Lee
Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University, Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University Bucheon Hospital, 1174 Jung-1-dong, Wonmi-gu, Bucheon-si, Gyunggi-do, 420-767, Republic of Korea - Korea, South
Submitting Author Prof. Tae-Hee Kim
Other Authors Prof. Tae-Hee Kim
Soonchunhyang University Bucheon, 1174, Jungdong Wonmigu Bucheon Si Gyeonggido - Republic of Korea 420-767

Prof. Soo-ho Chung
Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University, Bucheon, Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University Bucheon Hospital, 1174 Jung-1-dong, Wonmi-gu, Bucheon-si, Gyunggi-do - Korea, South 420-767

Dr. Wooseok Lee
Department of Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Soonchunhyang University Bucheon Hospital 1174 Jung-1-dong, Wonmi-gu, Bucheon-si, Gyunggi-do - Korea, South 424-767

OBSTETRICS AND GYNAECOLOGY

Ectopic pregnancy, Tumor, Magnetic resonance image

Kim T, Lee H, Chung S, Lee W. A Ruptured Old Ectopic Pregnancy that was Suspicious for Tumor. WebmedCentral OBSTETRICS AND GYNAECOLOGY 2012;3(4):WMC003300
doi: 10.9754/journal.wmc.2012.003300

This is an open-access article distributed under the terms of the Creative Commons Attribution License(CC-BY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
No
Submitted on: 25 Apr 2012 07:25:04 AM GMT
Published on: 25 Apr 2012 12:50:22 PM GMT

Case


A 40-year-old woman was admitted for melena that she’d experienced for 2 days. For the laboratory findings, the lactate dehydrogenase (LDH) (610) and cancer antigen (CA) 125 (326.7) were increased, and the hemoglobin/hematocrit (Hb/Hct) (10/31.0) were slightly decreased: the beta-human chorionic gonadotropin (B-HCG) was 500. Her last menstruation period was 10 days previously. The magnetic resonance image suggested there was a 10 x 10 x 7 cm lobulating cystic mass on the right adnexa with ascites and adenomyosis with a thin endometrium (Figure 1). The impression was malignant cystadenocarcinoma of the right ovary or Krukenberg tumor. The gastrofibroscopic finding was erosive gastritis and chronic gastritis with intestinal metaplasia. On the positron emission tomography-computed tomography (PET-CT) findings, the more increased F-fluorodeoxy glucose (FDG) uptake in the ovarian cystic wall on the delayed image (p-standardized uptake value (SUV) = delayed image; 2.3->2.9, early image; 1.5->2.0) revealed cancer of the ovary (Figure 2). An exploratory laparotomy revealed 1000cc of hemoperitonium and paratubal hematoma (Figure 3) The frozen findings of right salpingooporectomy was the product of conception, and this was consistent with a ruptured tubal pregnancy. We report on a case in which an old ruptured ectopic mass without pain was misdiagnosed as ovarian malignancy.

Source(s) of Funding


This work was supported in part by the Soonchunhyang University Research Fund.

Competing Interests


The authors did not report any potential conflicts of interest.

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