case_images: PMC11820923_01
case_images: Right ovarian tumor MRI coronal image (Case 1). Coronal T2-weighted MRI showing a well-defined, approximately 3-cm right ovarian cystic lesion. The lesion exhibits both fluid and soft-tissue components consistent with a mature cystic teratoma (dermoid cyst), located lateral to the uterus and adjacent to the pelvic brim.
case_images: cureus-0017-00000078899-i01.jpg
case_images: PMC11820923_01_cureus-0017-00000078899-i01.jpg
case_images: FIG1
case_images: Although the initial pelvic ultrasound was noncontributory, a subsequent MRI of the abdomen and pelvis disclosed a cystic lesion in the right ovary with a small solid component, highly suggestive of an ovarian teratoma (Figure 1: coronal view; Figure 2: transverse view).
case_images: Right ovarian tumor MRI transverse image (Case 1). Transverse T2-weighted MRI showing a well-defined, approximately 3-cm right ovarian cystic lesion. Both fluid and soft-tissue components are visible, consistent with a mature cystic teratoma (dermoid cyst). The lesion is situated lateral to the uterus, reinforcing its ovarian origin.
case_images: cureus-0017-00000078899-i02.jpg
case_images: PMC11820923_01_cureus-0017-00000078899-i02.jpg
case_images: FIG2
case_images: Although the initial pelvic ultrasound was noncontributory, a subsequent MRI of the abdomen and pelvis disclosed a cystic lesion in the right ovary with a small solid component, highly suggestive of an ovarian teratoma (Figure 1: coronal view; Figure 2: transverse view).
case_images: PMC11820923_02
case_images: Upright abdominal X-ray showing mass displacement (Case 2)
case_images: cureus-0017-00000078899-i03.jpg
case_images: PMC11820923_02_cureus-0017-00000078899-i03.jpg
case_images: FIG3
case_images: An upright abdominal X-ray demonstrated a large soft tissue density displacing bowel loops to the left upper quadrant, without signs of obstruction or free air (Figure 3).
case_images: Ultrasound image of uterine mass adjacent to the uterus (Case 2)
case_images: cureus-0017-00000078899-i04.jpg
case_images: PMC11820923_02_cureus-0017-00000078899-i04.jpg
case_images: FIG4
case_images: Pelvic ultrasound showed a sizable complex solid lesion, measuring approximately 22 x 18 cm, contiguous with the uterus (Figure 4).
case_images: Coronal CT scan showing the mass compressing bladder and bowel (Case 2)
case_images: cureus-0017-00000078899-i05.jpg
case_images: PMC11820923_02_cureus-0017-00000078899-i05.jpg
case_images: FIG5
case_images: Subsequent contrast-enhanced computed tomography (CT) of the abdomen and pelvis revealed a bilobed, predominantly solid mass with areas of necrosis; it exerted a mass effect on the bladder and inferior vena cava (Figure 5, coronal view; Figure 6, axial view).
case_images: Axial CT scan showing the central location and enhancement of the mass (Case 2)
case_images: cureus-0017-00000078899-i06.jpg
case_images: PMC11820923_02_cureus-0017-00000078899-i06.jpg
case_images: FIG6
case_images: Subsequent contrast-enhanced computed tomography (CT) of the abdomen and pelvis revealed a bilobed, predominantly solid mass with areas of necrosis; it exerted a mass effect on the bladder and inferior vena cava (Figure 5, coronal view; Figure 6, axial view).
case_images: Intraoperative image showing initial exposure of the large uterine mass (Case 2)
case_images: cureus-0017-00000078899-i07.jpg
case_images: PMC11820923_02_cureus-0017-00000078899-i07.jpg
case_images: FIG7
case_images: The bulky tumor was well-encapsulated and extensively vascularized, occupying a significant portion of the abdominal cavity (Figure 7).
case_images: Intraoperative image showing the dissection of the mass from its attachments (Case 2)
case_images: cureus-0017-00000078899-i08.jpg
case_images: PMC11820923_02_cureus-0017-00000078899-i08.jpg
case_images: FIG8
case_images: Careful dissection allowed for surgical excision of the mass from its uterine attachments (Figure 8), and gross measurement confirmed a maximum dimension of approximately 30 cm (Figure 9).
case_images: Measurement of the excised 30 cm mass (Case 2)
case_images: cureus-0017-00000078899-i09.jpg
case_images: PMC11820923_02_cureus-0017-00000078899-i09.jpg
case_images: FIG9
case_images: Careful dissection allowed for surgical excision of the mass from its uterine attachments (Figure 8), and gross measurement confirmed a maximum dimension of approximately 30 cm (Figure 9).