May 1981

Radiological Case of the Month

Am J Dis Child. 1981;135(5):467-468. doi:10.1001/archpedi.1981.02130290063019

An intravenous urogram (IVU) anteroposterior (AP) scout roentgenogram (Fig 1) of a 3-year-old girl with a history of recurrent urinary tract infections showed a partially calcified mass in the right pelvic area. The mass pressed on the right side of the bladder. Results of physical examination were unremarkable. Deep palpation in the pelvic area and digital rectal examination showed no evidence of a mass and no tenderness. Laboratory data included 24-hour urine vanillylmandelic acid and catecholamine levels, which were normal. A decubitus position AP roentgenogram (Fig 2) of the pelvic area showed that this mass was mobile. Laparotomy was performed.

Denouement and Discussion 

Mobile Calcified Spontaneously Amputated Ovary  At laparotomy, a calcified and freely mobile abdominal mass, measuring 1 to 2 cm, was found. A roentgenogram of the removed specimen showed calcification similar to that seen on the preoperative roentgenograms. The right ovary was absent. On histologie examination, the mass was composed of calcification within necrotic matter with

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