PELVIC HEMATOMA FOLLOWING ANGIOGRAPHY - ANOTHER CAUSE OF ELEVATED SERUM CA-125

The presence of a pelvic mass in a patient with an elevated serum CA-1 25 suggests the possibility of a gynecologic malignancy. However, an i ncreasing number of nonneoplastic causes of elevated serum CA-125 have been reported. This is the first report of a pelvic hematoma associat ed with elevated serum CA-125. Two weeks following cardiac catheteriza tion at time of myocardial infarction a patient was noted to have a co mplex pelvic mass on ultrasound and serum CA-125 of 53 units per milli liter. Abdominal-pelvic CT-scan showed a small left pleural effusion, minimal ascites, left lower quadrant abdominal wall masses consistent with omental metastases, and a 9.4 x 10.3 x 9.0-cm complex left adnexa l mass. At exploratory laparotomy a large organized hematoma in the le ft paravesical space was adherent to both the left external iliac arte ry and the left bladder wall. This mass could have been managed expect antly with percutaneous aspiration if a nonmalignant diagnosis had bee n more strongly considered. (C) 1997 Academic Press.