Department of Diagnostic Imaging, Saitama Medical University, International Medical Center, Hidaka-shi, SAitama, Japan.
Magn Reson Med Sci. 2010;9(4):233-6. doi: 10.2463/mrms.9.233.
A 38-year-old woman was transferred to the hospital with lower abdominal pain. Magnetic resonance (MR) imaging revealed an irregular ovarian wall with a solid component and a fluid-fluid level in the cystic mass and the pelvic space, which was thought to be pathognomonic for the rupture of an endometrioma with a malignant ovarian tumor. Histologic examination following adnexectomy revealed a ruptured endometrioma associated with endometrioid adenocarcinoma. A fluid-fluid level in the cystic mass and pelvic space may be pathognomonic MRI feature for a rupture of either an endometrioma or an endometrioma with a malignant tumor.
一位 38 岁女性因下腹疼痛被转送至医院。磁共振成像（MR）显示囊实性肿块的卵巢壁不规则，且存在液-液平面，这被认为是内异症囊肿破裂伴卵巢恶性肿瘤的特征性表现。附件切除术后的组织学检查显示破裂的内异症囊肿伴子宫内膜样腺癌。囊性肿块和盆腔内的液-液平面可能是内异症囊肿或内异症伴恶性肿瘤破裂的特征性 MRI 表现。
