A 22-year-old Caucasian woman with no relevant medical, family, or psychosocial history visited her family doctor for a routine check-up. She followed a balanced diet, exercised regularly, and had a body weight of 62 kg and a height of 173 cm. There was no history of prior pregnancies or abortions.
During the visit, the patient reported no symptoms but mentioned a recent lifestyle change aimed at weight loss, noting that she had been overweight approximately 15 months earlier. Abdominal examination Distension noted in the lower abdominal quadrants Normal bowel sounds present Palpation revealed a non-mobile pelvic mass extending up to the supraumbilical region No tenderness or signs of peritoneal irritation The patient denied pregnancy, flatulence, constipation, diarrhea, or abdominal pain. Lower abdominal ultrasound (Figure 1) Severely distended bladder, with full dimensions not…
