title: Ovarian capillary hemangioma presenting as an adnexal mass with massive ascites and elevated CA-125.
abstract: OBJECTIVE
  Ovarian hemangiomas are very rare with the majority being cavernous hemangiomas. We report a case of a capillary ovarian hemangioma.
  
  
  METHODS
  A case report of a woman with a capillary ovarian hemangioma with massive ascites and an elevated CA-125 is presented.
  
  
  RESULTS
  A 39-year-old woman presented with an enlarged ovary containing two ovarian cysts. Her CA-125 was elevated to 872 U/ml. On surgical exploration, she had 1500 cc of clear yellow ascitic fluid and a 7.9 x 6.5 x 4.5 cm left ovarian mass. Frozen section revealed marked stromal edema with luteinized cells and no evidence of malignancy. Histologically, the tumor was a cellular capillary hemangioma with an anastomosing vascular pattern.
  
  
  CONCLUSIONS
  This is the first case, reported in the literature, of an ovarian capillary hemangioma presenting with an elevated CA-125 and massive ascites.
authors.affiliation: Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, 27599, USA.
authors.forename: P A
authors.initials: PA
authors.lastname: Gehrig
authors.forename: W C
authors.initials: WC
authors.lastname: Fowler
authors.forename: R A
authors.initials: RA
authors.lastname: Lininger
mesh_terms: D000291:Adnexal Diseases / Q000175:diagnosis / Q000473:pathology*; D000328:Adult; D001201:Ascites / Q000209:etiology / Q000473:pathology; D018394:CA-125 Antigen / Q000032:analysis*; D003937:Diagnosis, Differential; D005260:Female; D006391:Hemangioma / Q000175:diagnosis / Q000276:immunology / Q000473:pathology*; D006801:Humans; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000276:immunology / Q000473:pathology*
chemical_list: D018394:CA-125 Antigen