case_images: PMC11824857_01
case_images: (A) Tumor that involves most of the abdominal cavity and displaces all intraperitoneal structures. It has a 1 cm nodular-papillary projection in its right basal portion with contrast enhancement (arrow). (B) The mass is dependent on the left ovary, is polycystic, and has a large central cavity with thin septa and multiple peripheral cysts (arrow). The right ovary also has multiple cysts (*).
case_images: CRIE2025-6652681.001.jpg
case_images: PMC11824857_01_CRIE2025-6652681.001.jpg
case_images: fig1
case_images: An ultrasound and an abdominal magnetic resonance imaging (MRI) were performed identifying a large tumor, of 21 x 17 x 9 cm, that occupied the pelvis and most of the abdominal cavity, multicystic in appearance with thin septa and a 1 cm nodular-papillary projection in the right basal portion with contrast enhancement (Figure 1), suggestive of an androgen-secreting sex cord-stromal tumor.
case_images: (A) Video-assisted transparietal puncture of the central cyst. (B) Cystic wall after aspiration of its contents sparing the ovarian parenchyma.
case_images: CRIE2025-6652681.002.jpg
case_images: PMC11824857_01_CRIE2025-6652681.002.jpg
case_images: fig2
case_images: Therefore, an exploratory laparoscopy was performed, confirming the radiological findings and, after aspiration of 1.7 L of yellow serous intracystic fluid (Figure 2), a video-assisted multiple cystectomy of the left ovary was performed preserving its parenchyma.