PMC3485512_01
Computed tomography showed a wellcircumscribed mass displacing the uterus forward with left ureterohydronephrosis respecting the cortex suggesting a giant ovarian cyst.
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The computed tomography showed a well-circumscribed mass, measuring 20 cm, with fluid density not taking the contrast, without walls or vegetations, displacing the uterus forward with the left ureterohydronephrosis respecting the cortex; the ovaries could not be visualized and the diagnosis pointed to a giant ovarian cyst (Figure 1).
Surgical exploration showed a 25 cm retroperitoneal cyst. Ovaries and uterus were normal.
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Ovaries and uterus were normal (Figure 2).
An accidental rupture of the cyst gives way out of the slats reminiscent of keratin.
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Under tension, an accidental rupture of the cyst can pour out of the slats, being thus reminiscent of keratin (Figure 3).
HES x 10: Microscopic image of giant epidermoid cyst with stratified squamous epithelium containing necrotic debris.
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