A RARE CASE OF OMENTAL ENDOMETRIOSIS ASSOCIATED WITH OVARIAN FIBROMA AND HEMORRHAGIC ASCITES: IMAGING INSIGHTS

A RARE CASE OF OMENTAL ENDOMETRIOSIS ASSOCIATED WITH OVARIAN FIBROMA AND HEMORRHAGIC ASCITES: IMAGING INSIGHTS Authors/Creators - 1. Department of Radiology, University of Calabar, Calabar, Cross-River State, Nigeria - 2. Department of Obstetrics and Gynaecology, University of Calabar, Calabar, Cross-River State, Nigeria - 3. Department of Pathology, University of Calabar, Calabar, Cross-River State, Nigeria Description A case of omental endometriosis with recurrent haemorrhagic ascites in a 22 year old nullipara is presented. She first presented at a private hospital with a three month history of progressive abdominal distention and the transabdominal ultrasound scan revealed a right ovarian mass with massive ascites. She had laparotomy and the histology reports of the omental and ovarian samples revealed endometriosis and fibroma respectively. She presented to us with a recurrence of the distension six months later. Repeat transabdominal ultrasound scan and an abdominopelvic computed tomograhpy revealed only a massive ascites. She had a second laparotomy and the histology of the degenerating omental sample still revealed endometriosis. Patient was managed satisfactorily on hormonal therapy without recurrence over a two year follow up. The Literature on the appropriate imaging modalities in endometriosis is reviewed and these showed that with judicious use, imaging is accurate in the pre-operative diagnosis Files 1.pdf Files (1.0 MB) | Name | Size | Download all | |---|---|---| | md5:a4d7b5e40a60fcddf0c746ab8dabef80 | 1.0 MB | Preview Download |