Skin Diseases & Skin Care

Description

A nulligravid 30-year-old woman with a history of polycystic ovarian syndrome presented for a left adnexal mass evaluation. The patient was alluded to the gynecologic oncology center subsequent to embracing indications of stomach torment for a month and the pelvis ultrasound exhibited hypoechoic strong mass in the left ovary. Progressive centripetal "filling-in" of the mass on magnetic resonance imaging with T1- and T2-weighted images suggested a distinct variant of malignant ovarian mass, similar to hepatic hemangioma. A single later of endothelial cells confirmed the diagnosis of ovarian hemangioma, capillary-typea rare finding-after the ovarian mass was resected. Pathology revealed that the mass was filled with numerous small blood vessels.

Ovarian Hemangiomas

Due to inconclusive left adnexal mass findings on Ultrasound (US) and Magnetic Resonance Imaging (MRI), we present a 30- year-old female with a history of Polycystic Ovary Syndrome (PCOS) who underwent a diagnostic laparoscopy in this case report. The left adnexal mass presented uniquely, according to the review of the radiology, with MRI findings comparable to those of a hepatic hemangioma. In particular, a dynamic centripetal upgrade seen on post-contrast imaging in a commonplace liver hemangioma which is likewise found in the X-ray pictures of this patient's left ovary. As a result, we present an incidental finding of an OH that resembles the presentation of a hepatic hemangioma and draws attention to the distinctive radiologic characteristics of this pathology in the ovary. After the patient presented to the clinic, US and MRI of the pelvis were carried out. US discoveries showed broadening of the left ovary without proof of left ovarian follicles with radiological worry of adnexal mass. Most notably, an ultrasound revealed a hypoechoic solid mass in the left ovary. A Doppler study also showed no significant flow, and an MRI was recommended for additional diagnostic testing. T2-weighted pictures portrayed a hyperintense left ovarian mass and T1-weighted pictures likewise showed a negligible hypointense signal Post-contrast T1-weighted pictures got at 30, 60, 90, and 120 seconds exhibited eager improvement with moderate centripetal "fillingin" of the mass recommending a one of a kind variety of dangerous ovarian mass with these discoveries, patient was booked for a symptomatic laparoscopy.

One of the female reproductive system's well-vascularized organs is the ovary. Ovarian Hemangiomas (OH), vascular tumors of the ovary, have been described in less than 60 cases in the literature. In point of fact, the majority of cases of OH are coincidental findings during autopsy or surgery. OH has no preference for any age group. It was discovered in patients ranging in age from 8 to 81. It can be difficult to diagnose OH because it can be asymptomatic or have findings that look like ovarian cancer. Additionally, it can be challenging to diagnose ovarian vascular tumors in women of reproductive age. It is difficult to accurately identify the presence of a growing vascular tumor in the ovary due to the cyclical nature of female reproductive organs and the asymptomatic, small-sized follicular changes associated with the menstrual cycle. The cause of OH is still unknown. However, stromal luteinization, stromal hyperplasia, and pseudo-Meigs' syndrome can or have been linked to OH. There are a number of possible causes of OH. The growth and proliferation of OH is suggested to be caused by hormonal effects, such as during pregnancy, according to one proposed hypothesis. Another speculation recommends that the presence of Goodness. We were able to make the definitive diagnosis that the patient had an OH because the pathology of the adnexal mass corresponds to the findings on the US and MR radiographs. The specimen was a tan-gray ovary with a 24 g attached fallopian tube, measuring 4.0 x 3.5 x 2.5 cm, and its outer surface was smooth to focally cerebriform. When the ovary was sectioned, a round, well-circumscribed, reddishbrown, rubbery to spongy nodule measuring 2 cm in diameter covered half of the ovary. The fallopian tube was unremarkable, with a few small cystic follicles in the remaining ovarian tissue.

Hepatic Hemangiomas

A vascular lesion was observed under microscopic examination to consist of numerous small blood vessels that contained red blood cells and were lined with a single layer of endothelial cells. There were also a few smaller blood vessels that had muscular walls. The presence of stroma was minimal. No atypia, rot, or expanded mitotic movement was seen. The lesion's vascular nature was confirmed by the diffuse and strong positive immunohistochemical staining for CD31 and the negative immunohistochemical staining for pancytokeratin (AE1/AE3). No irritation, calcification, thrombi, or hemosiderin testimony was available. There were no other teratomatous elements found. Small cystic follicles were found in the ovarian tissue that was not affected. There was no luteinization of the stroma. Ovarian hemangioma of the capillary type can be identified by the microscopic features and immunohistochemical staining. Goodness change in qualities from physical and obsessive introductions. It has been discovered in sizes ranging from 5 mm to 24 cm in width. Most of the time, these vascular tumors are unilateral, but there have been some reports of them being bilateral. Like this patient, Goodness are generally tracked down in the hilum of the ovaries, despite the fact that it doesn't have preference where it can frame . In addition, cavernous and capillary hemangiomas, like those found in other anatomical locations, are the two most common types. Our patient has the capillary-type, which is also the type of hemangioma that is found most frequently in the body. Ovarian hemangioma is a rare diagnosis that is frequently discovered as an incidental finding during surgery or autopsy. This is in contrast to the type that is predominantly cavernous and is found in the majority of OH cases. In spite of the fact that there is fluctuation in both age and clinical introductions, these harmless growths ought to be considered as a potential pathology of any adnexal mass. Similar to hepatic hemangiomas, ovarian hemangiomas can be imaged using MR. Clinicians can make use of this radiological similarity to properly treat this vascular lesion and include this uncommon finding in their differential diagnosis.