Case notes
A 41 year old woman was admitted to the emergency department for right lower abdominal pain. She had no surgical or obstetric history and no unusual family history. A palpable mass was found on the right side of the pelvis. Laboratory results showed no evidence of infection or inflammation. The only abnormalities were slight elevations in the levels of CA-125 and alpha-fetoprotein, which were measured at 36.1 U/mL and 17.3 ng/mL, respectively. Ultrasonography of the abdomen and pelvic cavity disclosed a uniform, striped, solid mass in the right ovary and a myoma in the uterus ( Figure 1 ).
Computed tomography (CT) also displayed 2 masses: 1 appeared to be a 13 × 10 × 7 cm solid ovarian tumor with torsion on the right side, and the other was a 9 × 7.5 × 6 cm uterine myoma ( Figure 2 ). An exploratory laparotomy revealed an appendiceal mass accompanied by hemoperitoneum estimated at 100 mL and a uterine myoma ( Figure 3 ).
