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A 35-year-old woman, gravida 2 para 1, presents at 30 weeks’ gestation with crampy abdominal pain, distension, and bloating. The symptoms have been present for a few months. Ultrasound of the left ovary reveals the findings seen here; similar findings are noted in the right ovary. Further evaluation identifies these changes as metastatic disease.
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This article originally appeared on Clinical Advisor
