A pomegranate heart

Quantitative Imaging in Medicine and Surgery

Kefeng Zhou¹  Jian He¹  Bin Zhu¹  Guochu Qin¹  Shizheng Zhang² 

[1] Department of Radiology, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing, 210008,Jiangsu Province, China;;Department of Radiology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, 310016,Zhejiang Province, China

关键词: Teratoma;    magnetic resonance imaging;    diffusion weighted imaging;   

DOI  :  10.3978/j.issn.2223-4292.2011.12.03

学科分类：外科医学

来源: AME Publications

【 摘 要 】

Sacrococcygeal teratomas are common in infants while a buttock terotoma is extremely rare in adults. Herein we report a30-year-old female complaining of left hip swelling and pain for 2 weeks. Ultrasonography demonstrated a subcutaneouscystic mass with multiple dense echo spots inside. MR showed a heart-shaped mass in the left buttock, with multiple"pomegranate seeds" inside, which showed hyperintensity on diffusion weighted imaging. The mass was resected and abuttock terotoma containing yellow sebum-like materials and hairs was confirmed pathologically. A thick walled cysticmass on CT or MR images, which contains multiple small solid nodules or fat, indicates the diagnosis of a terotoma. Timelydiagnosis and complete resection bring good prognosis. Adequate follow-up is necessary.

【 授权许可】

Unknown