Investigating a large ovarian cyst
Susan, a 34-year-old female, was referred following a six-month history of early satiety, abdominal distension and increased urinary frequency.
Her past history includes BMI of 31.7kg/m2, and an abdominal myomectomy, via laparotomy, which was complicated by bladder injury.
She consulted her GP and, after abdominal and vaginal examination, was referred for a pelvic ultrasound, which showed a cystic abdominal mass.
Tumour markers were investigated, revealing a CA125 of 11ku/L and CEA of 0.9kU/L (both normal).
The GP referred Susan for an abdominal CT, which revealed a large septated cystic mass occupying most of the abdominal cavity (figure 1).
Figure 1. CT (coronal) showing filling of the abdomen by a cystic mass with multiple septae. The