Complex Ovarian Cyst A Large Complex Ovarian Cyst Mimicking a Fibroid Estimated reading: 1 minute 492 views Contributors Clinical History A 54-year old lady presented with a large mass in the centre of the lower abdomen mimicking a fibroid. Case Description Ultrasound performed (TA and TV) revealed a large 21 cm complex cystic mass (complex ovarian cyst) emanating from the pelvis into the abdomen with multiple septations within it. A subsequent MRI pelvis confirmed the large multicystic pelvic lesion to be a possible neoplasm arising from the left ovary. The patient had a whole body contrast staging CT that revealed no extra-ovarian disease presence. Diagnosis/ Discussion/ Treatment/ Follow up Total abdominal hysterectomy and bilateral salpingo-oophorectomy was performed and the cyst was analysed histologically. Histology revealed the lesion to be a benign mucinous cystadenoma. Sonograms Transabdominal ultrasound showing the large complex cyst in the pelvis Transvaginal ultrasound showing the complex cyst in the pelvis Transvaginal ultrasound showing the complex cyst in the pelvis Colour Doppler imaging of the complex cyst in the pelvis Sagittal MRI of the complex cyst in the pelvis Coronal CT of the large pelvic complex cyst A Large Complex Ovarian Cyst Mimicking a Fibroid - PreviousComplex Ovarian CystNext - A Large Complex Ovarian Cyst Mimicking a FibroidOvarian Dermoid Published on: September 25, 2024