A case report of a pelvic intraperitoneal mass in a middle aged woman.
A 52 year old caucasian woman, with history of ovarian pelvic pain and without any systemic symptoms, underwent a transvaginal ultrasonography, in which was detected a right ovarian enlargement. Computed tomography revealed multiple hepatic cysts, a left ovarian cyst of 2.3 cm, a 4.7 cm sized intraperitoneal pelvic solid mass, with regular but bumped margin with some calcifications spots and an isolated right external iliac lymph node enlargement [Fig.1, Fig.2]. Due to shape, location and unknown nature of the mass, the patient had a whole body PET which showed metabolic activity in both pelvic mass and enlarged omolateral lymph node [Fig.3]. In another center, was performed a biopsy of the right adnexal mass that resulted undiagnostic. Then the patient underwent an explorative laparoscopic surgery with excision of the pelvic mass at our hospital. Only after histological examination a certain diagnosis was obtained.