Description
A 50-year-old woman was admitted to our hospital with a 2-day history of cramping pain of the lower abdomen. She also reported an episode of nausea and vomiting prior to admission. The patient had undergone total abdominal hysterectomy for uterine myoma. Her blood pressure was 100/60 mm Hg, pulse rate of 70 beats/min and axillary temperature of 36.5°C. The patient had mild direct tenderness of the lower abdomen, especially at the right lower quadrant, with no rebound tenderness or muscular guarding. Laboratory data showed a white cell count of 10 100/mm3 (normal limit of 4000–10 000/mm3) and a C reactive protein concentration of 17.25 mg/L (normal limit of 0–10 mg/L). A plain chest X-ray revealed no free air under diaphragm. Pelvic ultrasound demonstrated smooth bilocular cystic tumour within the right adnexa that has no colour flow on Doppler.
Contrast-enhanced abdominal CT showed a hypodense area measuring 4x3x3 cm in the region of right adnexa and a...
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