October 1966

Radiological Case of the Month

Author Affiliations

From the Departments of Pediatrics (Dr. Stickler) and Pediatric Surgery (Dr. Lynn), Mayo Graduate School of Medicine, University of Minnesota, Rochester; and the Departments of Pediatrics (Dr. Reeves) and Surgery (Dr. Thompson), Mayo Clinic.

Am J Dis Child. 1966;112(4):377-378. doi:10.1001/archpedi.1966.02090130151016

CLINICAL HISTORY.—A 9-year-old girl presented with a history of vague generalized abdominal discomfort of three weeks' duration. The pain had no apparent relation to meals, time of day, or activities. There was no history of nausea or vomiting. Bowel movements were described as normal. Appetite remained good and there had been no apparent fever. General health was described as good except for spastic diplegia noted from birth.

On examination the child appeared to be in no distress. A walnut-sized, firm, non-tender mass was palpable in the right lower quadrant of the abdomen. It was also felt on rectal examination. The remainder of the physical examination was normal. Blood count and urinary findings were normal. A plain roentgenogram of the abdomen was obtained (Fig 1). A specific diagnosis was made from the roentgenogram, and appropriate therapy was instituted.

Denouement and Discussion 

OVARIAN TERATOMA  The preoperative diagnosis was ovarian teratoma. This

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