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Title: Spontaneously ruptured endometrioma associated with endometrioid adenocarcinoma: MR findings. Author: Kozawa E, Matsuo Y, Hasegawa K, Fujiwara K, Sakurai T, Kimura F. Journal: Magn Reson Med Sci; 2010; 9(4):233-6. PubMed ID: 21187693. Abstract: 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.[Abstract] [Full Text] [Related] [New Search]