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288 Possible Causes for Adnexal Mass, Ascites

  • Malignant Neoplasm

    We describe a case of acute chlamydial salpingitis with marked ascites and an adnexal mass that simulated a malignant neoplasm.[] We describe a case of acute chlamydial salpingitis with marked ascites and an adnexal mass that simulated a malignant neoplasm.[] Chlamydial infection may cause marked ascites and a palpable adenexal mass and should be considered whenever marked chronic inflammation with a lymphofollicular hyperplasia[]

  • Appendicitis

    Massive ovarian edema is a benign clinical entity, the imaging findings of which can mimic an adnexal mass or ovarian torsion.[] On Doppler, peripheral vascularity with high velocity and low impedance can be seen around the adnexal mass, separate from the ovary, called the “ring of fire” sign. 33 Echogenic[] Presence of yolk sac or a live embryo with cardiac activity makes the diagnosis. 32 Other findings include the “tubal ring” sign, referring to a hyperechoic ring around the adnexal[]

  • Metastatic Ovarian Carcinoma

    A pelvic computed tomography scan revealed a 7-cm complex, right adnexal mass.[] Postoperative recurrence was found cytologically in the surgical stump and ascites in two cases.[] mass, often solid, irregular, and fixed, may be discovered incidentally.[]

  • Adenocarcinoma of the Ovary

    IMAGING Doppler transvaginal ultrasonography is used in the initial evaluation of adnexal masses.[] Positive peritoneal or ascitic cytology, the presence of residual tumor, more than 100 ml ascites were demonstrated to have the significant impact on survival by univariate[] A new cell line (TAYA) was established from ascites of a patient with clear cell adenocarcinoma of the ovary, and the sensitivity of the cell line to various anticancer drugs[]

  • Meigs Syndrome

    Adnexal masses are not uncommon in patients with breast cancer. Breast cancer and ovarian malignancies are known to be associated.[] Pseudo-Meigs' syndrome accompanied by massive ascites in uterine leiomyoma is rare.[] Elevated tumor markers for a post-menopausal woman presenting with a multilocular adnexal mass, ascites, and pleural effusion were interpreted as being highly suspicious of[]

  • Ovarian Torsion

    adnexal mass.[] She was allowed only a fat-free diet, and no evidence of re-occurrence of ascites was noted on clinical observation.[] We describe a female neonate with ovarian torsion, ovarian follicular and dermoid cysts, congenital ascites, pleural effusions, and respiratory distress.[]

  • Tuberculous Peritonitis

    Two patients showed bilateral complex adnexal masses with multiloculated fluid with a thick wall-like tubo-ovarian abscess.[] Serum c-reactive protein (7.88 6.62 mg/dL vs 3.12 2.69 mg/dL, P 0.01), ascites adenosine deaminase (66.76 32.09 IU/L vs 13.89 8.95 IU/L, P 0.01), ascites lymphocyte proportion[] In three patients (15.78%), the ascitic fluid culture was positive.[]

  • Uterine Fibroid

    It is also of great value in differentiating a pedunculated fibroid from an adnexal mass 5 .[] The patient was found to have a distended cystic mass protruding from the posterior surface of the uterus with 3,200 mL of blood-stained ascites.[] Free fluid in the peritoneal cavity suggested ascites. The patient underwent an exploratory laparotomy.[]

  • Ovarian Cyst

    Careful evaluation and consultation must be the mainstay of surgery for adnexal masses.[] We report this case to increase the suspicion index of a large ovarian cyst in all women presenting with massive ascites.[] A 47-year-old woman was referred for an incidental finding of a right adnexal mass on pelvic sonography, suspected to be an ovarian cyst.[]

  • Endometriosis

    Ultrasound examination performed at admission revealed a 6 6 cm right adnexal mass compatible with endometrioma, with a normal left ovary and uterus.[] She used clomiphene for 3 months, and the ascites reaccumulated. The patient was started on depot leuprolide and oral norethindrone, but the ascites persisted.[] masses , as well as assessing for response to medical therapy (see below) potentially eliminating the need for follow-up laparoscopy.[]

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