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Ovarian cavernous haemangioma presenting as a heavily calcified adnexal mass

Departments of ¹ Radiology and ² Pathology, Catholic University of Korea, College of Medicine, Seoul, Korea

Correspondence: Sung Eun Rha, Department of Radiology, Kangnam St Mary's Hospital, College of Medicine, Catholic University of Korea, 505, Banpo-Dong, Seocho-Ku, Seoul, 137-040, Korea. E-mail: serha{at}catholic.ac.kr

Haemangioma is an extremely rare tumour of the ovary. We describe the CT and MRI findings of a heavily calcified ovarian haemangioma in a 69-year-old woman presenting with adnexal torsion. CT showed a well-circumscribed mass with extensive punctate calcifications, located posterior to the uterus. MR images showed dark signal intensities of the mass on both T₁ and T₂ weighted images, with poor enhancement of the mass on contrast-enhanced T₁ weighted images. MR images also demonstrated a beak-like protrusion from the adnexal mass, representing the adnexal torsion. This is the first case report of a heavily calcified ovarian haemangioma in the English literature. Although rare, ovarian haemangioma should be included in the differential diagnosis of a heavily calcified adnexal mass.