[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.205.87.3. Please contact the publisher to request reinstatement.
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
Special Feature
March 1998

Pathological Case of the Month

Author Affiliations
 

ENIDGILBERT-BARNESSMD

Arch Pediatr Adolesc Med. 1998;152(3):301-302. doi:10.1001/archpedi.152.3.301

A 12-YEAR-OLD girl presented to the Pediatrics Clinic of Taipei Municipal Chung-Hsiao Hospital, Taipei, Taiwan, with several months' history of abdominal distension and mild dyspnea. Family and medical histories were noncontributory. Abdominal and pelvic examination showed a tender pelvic mass extending into the right costal margin. The other physical findings were insignificant. Ultrasonogram, abdominal x-ray films, and computed tomographic scan (Figure 1) showed a large, partially calcified intraperitoneal mass extending from the pelvis to the xiphoid process. Preoperative serum α-fetoprotein and human chorionic gonadotropin levels were within normal range. During a laparotomy, a large tumor of the right ovary with a capsular tear was found. The omentum and peritoneum were erythematous and finely granular. A right salpingo-oophorectomy and biopsy of the omental implant were performed. The right ovarian tumor measured 23×15×15 cm and weighed 1300 g. The capsule was ruptured and the tumor was solid and cystic. Microscopic sections are shown in Figure 2 and Figure 3. Postoperatively, the patient has been healthy with no recurrent disease for 31 months.

×