PMC3332172_01
(a) Not contrasted helical computed tomography (CT) of the abdomen; large cyst (water ROI mean 0-20 HU; this cyst 13.12 HU) with well defined limits and finely heterogeneous appearance; (b) Contrast enhanced helical CT of the abdomen; arrow indicates a contrast enhanced solid area in the cyst wall, suggesting malignancy; (c) Partially opened surgical specimen showing the multiloculated cystic appearance, with mucinous content and thin wall; (d) Solid, whitish, and elastic area seen at depth, which corresponded microscopically to the regions with more cellularity.
CRIM2012-283948.001.jpg
PMC3332172_01_CRIM2012-283948.001.jpg
fig1
Computed tomography (CT):5 months before surgery: a complex large-volume lesion extending from the pelvis to the upper abdomen (20 x 20 x 15 cm; volume: 3000 mL), without signs of ureteral compression, ascites or enlarged lymph nodes (Figures 1(a) and 1(b)).