Abstract

We report the case of a 35-year-old nulliparous woman, with a previous history of ovarian quistectomy diagnosed 3 years earlier due a struma ovarii type of monodermal teratoma in the right ovary and a hemorrhagic cyst in the left ovary. Progressive growth of the left adnexal mass was observed in the clinical outcome. A second laparoscopy was performed and a left ovarian quistectomy, right salpingectomy and resection of multiple peritoneal implants were carried out.The pathology diagnosis was left struma ovarii and peritoneal strumosis. A whole body and SPECT/CT scan with 99mTc-pertechnetate was performed to detect possible peritoneal implants. This study helped to make the therapeutic decision.

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