Spontaneously Ruptured Endometrioma Associated with Endometrioid Adenocarcinoma: MR Findings

Eito Kozawa, Yuka Matsuo, K. Hasegawa, Kousei Hasegawa, Keiichi Fujiwara, Takaki Sakurai, Fumiko Kimura
Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2010 · vol. 9(4) , pp. 233–236 · doi:10.2463/mrms.9.233 · PMID:21187693 · W2094459543
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

MR imaging showed an irregular ovarian wall, solid component, and fluid-fluid level in a ruptured endometrioma with associated endometrioid adenocarcinoma.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

This paper reports an imaging case of a 38-year-old woman with lower abdominal pain in whom MRI showed an irregular ovarian wall with a solid component plus a cystic mass containing a fluid-fluid level that extended into the pelvic space. Based on these MR findings, the authors considered it characteristic of a ruptured endometrioma with a malignant ovarian tumor. After adnexectomy, histology confirmed a ruptured endometrioma associated with endometrioid adenocarcinoma. The paper relates to endometriosis through its central focus on MR findings of a spontaneously ruptured endometrioma associated with endometrioid adenocarcinoma.

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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.
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Clinical Image Spontaneously Ruptured Endometrioma Associated with Endometrioid Adenocarcinoma: MR Findings 2010 Volume 9 Issue 4 Pages 233-236 Details 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. © 2010 by Japanese Society for Magnetic Resonance in Medicine Favorites & Alerts Recently viewed articles

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Condition tags

endometriosisendometrioma

MeSH descriptors

Carcinoma, Endometrioid Endometrial Neoplasms Endometriosis Magnetic Resonance Imaging Abdominal Pain Abdominal Pain Adult Carcinoma, Endometrioid Carcinoma, Endometrioid Carcinoma, Endometrioid Diagnosis, Differential Endometrial Neoplasms Endometrial Neoplasms Endometrial Neoplasms Endometriosis Endometriosis Endometriosis Female Humans Magnetic Resonance Imaging

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