Surgically transplanted ovary simulating a hepatic metastasis.

BACKGROUND Surgical procedures may alter normal anatomy, confounding the interpretation of cross-sectional imaging studies. This problem is greater if neither a relevant history nor previous comparison studies are available. CASE OUTLINE In a 29-year-old woman submitted to radical hysterectomy for cervical carcinoma, one ovary was surgically repositioned into the right paracolic gutter out of the radiation field. This ovary simulated a hepatic metastasis on subsequent CT examinations. History was obscure, adding to the interpretive challenge. DISCUSSION Clues to establishing the correct diagnosis are presented. The availability of an adequate history and previous radiological images are important to prevent diagnostic error.