Bouanane Rania, Hatim Essaber, Taibi Ouiam, El Aouadi Salma, F.Z Laamrani, Youssef Omor, Rachida Latib, Sanae Amalik
Journal: Medpeer Publisher
ISSN: 3066-2737
Volume: 3
Issue: 3
Date of Publication: 2026/03/23
Ovarian cancer is frequently diagnosed at an advanced stage due to nonspecific clinical presentation. Imaging plays a central role in diagnosis and staging. We report the case of a 43-year-old woman presenting with abdominal pain and vomiting. Contrast-enhanced CT demonstrated bilateral complex adnexal masses categorized as O-RADS 5, associated with abundant ascites and diffuse peritoneal carcinomatosis. An unusual enhancing tissue lesion was identified along the round ligament pathway. Targeted ultrasound revealed a vascularized tissue mass within an inguinal hernia sac, corresponding to herniation of a peritoneal implant. This case highlights a rare route of tumor spread through the round ligament into the inguinal canal and emphasizes the importance of multimodality imaging in identifying atypical metastatic pathways.
Ovarian cancer; O-RADS 5; Peritoneal carcinomatosis; Round ligament; Inguinal hernia; CT; Ultrasound
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