Abdominal-Pelvic Imaging by Ammar Haouimi & Rabah Bouguelaa

Author:Ammar Haouimi & Rabah Bouguelaa
Language: eng
Format: epub
Publisher: Austin Macauley Publishers
Published: 2021-07-25T16:00:00+00:00

Diagnosis: Hepatocellular Carcinoma (HCC) in Cirrhotic Liver

Case 91

Clinical Presentation

A 14-year-old patient consulted for dysmenorrhea. She had her menarche 1 and a ½ year ago and since then, her dysmenorrhea had been worsening with increased severity of the hypogastric pain radiating to the right thigh. On rectal examination, a bulging of right paravaginal mass was noted.

Radiological Findings

Ultrasound examination of the pelvic region, the right parasagittal section (A) shows a distended fluid-filled cavity corresponding to the right hemiuterus with haematometrocolpos; left parasagittal section (B) shows a normal uterine structure corresponding to the left hemiuterus and transverse section (C) shows both separated hemiuterus with haematometrocolpos on the right side. Enhanced CT scan at the upper abdomen (D) shows no right kidney (ipsilateral renal agenesis). At pelvic region (E, F), the right hemiuterus is well-visualised with haematometrocolpos by obstructed right hemivagina; the left hemiuterus is also visible in the left paravesical region (F).

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