My patient 28 yrs old, unmarried sexually active presented with pelvic pain which is severe and unrelated her cycles. She has gastritis. At times the pelvic pain is associated with nausea. Her p/v findings reveal a bulky retroverted uterus with firm masses in bilateral fornices with restricted mobility and tenderness.
Her reports ca125 89 HCG 1.2 AFP 5.07 LDH 198 TB PCR negative in d1 menstrual blood ct s/o well defined oval multiloculated multiseptate hypodense lesion of 5.7,4.4,4.7 with peripheral enhancement and enhancement of septae in left adnexa,no evidence of intralesional calcification. Lesion is seen abutting uterus and posterior wall of bladder. A similar biloculated lesion in right side4.1,2.5,2.9.bilateral ovaries not visualised separately.multiple seedling fibroids present; largest of2.3,2.2 in anterior wall. Kindly guide for her management plan.
