Document Type

Article

Publication Date

2026

Abstract

Ovarian epithelial carcinoma (OEC) is the most common and lethal form of ovarian cancer, often presenting with subtle or nonspecific symptoms. This report describes the case of a 31-year-old postpartum woman with a six-month history of abdominal pain and bloating. This case highlights the limitations of imaging modalities in the evaluation of large lesions. A focused abdominal ultrasound examination was performed, revealing an intra-abdominal vascular mass. Findings were compared with prior and subsequent Computed Tomography (CT) scans to assess the lesion’s origin, given the limitations of ultrasound. Sonographic evaluation demonstrated a large mixed heterogenous mass with thick septations and internal vascularity, extending from the right adnexal region into the inferior portion of the left hepatic lobe. The size of the lesion limited accurate sonographic localization of its site of origin. This case underscores the importance of recognizing the limitations of specific imaging modalities. Such awareness facilitates timely transition to additional imaging when necessary, therefore reducing delays in diagnosis and treatment.

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