Ovarian Sertoli-Leydig cell tumor. [Gynecologic] [CT]

26 year old female with 2-3 months of abdominal enlargement and weight gain.

CT shows a -massive- multicystic mass filling the entire abdominal cavity and displacing the normal organs. The mass extends from the pelvis to above the belly button, ~25-30 cm in length.

The patient underwent exploratory laparotomy. The mass originated from the right ovary, which was resected. The omentum, regional lymph nodes, and appendix were also removed. Luckily, there was no recurrence of the tumor at last follow-up 2 years later, and she went on to have kids.