First report of MRI findings in a case of an autoamputated wandering calcified ovary

Parag Suresh Mahajan, Nazeer Ahamad, Sheik Akbar Hussain

Department of Radiology, Al-Khor Hospital, Hamad Medical Corporation, Doha, Qatar

Abstract: An autoamputated wandering calcified ovary (AWCO) is an extremely rare cause of abdominal calcification in the pediatric population. We present the magnetic resonance imaging (MRI) features of AWCO in a child. To our knowledge, the MRI features of AWCO have not been previously described in the published literature. Our case report indicates that the MRI findings are characteristic in the diagnosis of an AWCO and can completely obviate the need for invasive procedures in this mostly benign disease. An AWCO should be considered in all cases of mobile calcific opacities on radiographs in female patients. We advise that MRI be conducted in all suspected cases of AWCO for accurate and noninvasive diagnosis, and regular follow-up should be performed with ultrasound. The findings in our case report have the potential to change the course of investigations and management in suspected cases.

Keywords: magnetic resonance imaging, ovary, adnexa, autoamputation, wandering calcification