Bilateral massive ovarian edema: a case report

Roberts, Caroline L.; Weston, Michael

doi:10.1046/j.1469-0705.1998.11010065.x

Cited by 29 publications

(17 citation statements)

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“…Bilateral pain due to bilateral ovarian edema has also been reported. 6 The ultrasound findings have been reported as a solid tumor-like mass or as a solid mass containing a cystic component. Recent reports using magnetic resonance imaging have demonstrated multiple ovarian follicles in the periphery of the ovary.…”

Section: Discussionmentioning

confidence: 99%

Hemorrhagic Corpus Luteum is Associated with Ovarian Edema

Beyth

Klein

Tepper

et al. 2006

Journal of Pediatric and Adolescent Gynecology

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Section: Discussionmentioning

confidence: 99%

Hemorrhagic Corpus Luteum is Associated with Ovarian Edema

Beyth

Klein

Tepper

et al. 2006

Journal of Pediatric and Adolescent Gynecology

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“…It is benign in nature and affects the 6-to 33-year-old age group (3). It can be unilateral or bilateral (3). It is important as it cannot be radiologically differentiated from other malignant lesions.…”

Section: öZmentioning

confidence: 99%

“…It is believed that bleeding and infarcts do not develop as there are no arterial circulation problems despite the generally disturbed venous and/or lymphatic circulation (3,9). The right ovary had cystic and solid areas and showed torsion but there was no sign of ischemia in our case.…”

Section: Dıscussıonmentioning

confidence: 99%

“…The fact that the patients are young and are of childbearing age indicates a need for conservative treatment while the difficulty in differentiating the lesions from a malignancy without histopathological investigation creates problems. The current approach is frozen biopsy with the wedge resection method and a conservative surgical approach if the diagnosis is massive ovarian edema (3)(4)(5).…”

Section: Dıscussıonmentioning

confidence: 99%

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Massive edema of the ovary: case report

Akansu¹,

Atık²,

Altıntaş³

et al. 2010

TJPATH

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Massive ovarian edema is a rare condition characterized by marked enlargement of one or both ovaries as a result of accumulation of edema fluid in stroma. It is a benign lesion and is generally seen in young females between 6-33 years of age. Our aim is to remind that massive ovarian edema should be considered in the differential diagnosis especially in young patients to avoid aggressive treatment.Our patient was a 17-year-old female who was admitted to our hospital with complaints of irregular menstruation and right groin pain for the last 3 months. There was no remarkable finding in the physical examination. 'Sex-cord stromal tumor (luteinized thecoma)' could not be excluded in the intraoperative frozen section. The diagnosis was reported as 'massive ovarian edema' with routine examination.Pathological evaluation is required because of the difficulty of differentiating these lesions from malignant lesions with radiological methods in the pre-operative period. Although it is a rare lesion, clinicians and pathologists should consider it in the differential diagnosis to avoid aggressive treatment.

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“…The most commonly affected are young women in their reproductive stage, but a singular cases of a six-month-old infant and a postmenopausal woman have also been reported [3, 4]. Massive ovarian oedemas can involve one or both the ovaries [5, 6], and it has also been observed during pregnancy [7]. The most common presenting symptoms are pain, distension or mass in the abdomen, infertility, and in some cases irregular vaginal bleeding [2–7].…”

Section: Introductionmentioning

confidence: 99%

ecancermedicalscience

Ramar

Pallavi²,

Rajashekar³

et al.

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Objective:Benign massive ovarian oedema is a rare clinical entity arising from the ovaries, and it poses a significant clinical challenge as it can be easily mistaken for neoplasm. Due to the lack of pathognomonic clinical features or characteristic hallmarks on non-invasive diagnostic modalities and the dependence on the final histopathology, the efforts of the surgeon have been deviated from performing fertility-sparing surgery on young women. The lack of standardised guidelines due to the rarity of this condition calls for a review of the literature to enable the clinician to formulate treatment guidelines.Methods and Material:A Medline search on the PubMed database for literature published in English from 1969 to 2011 was done using the keywords ‘massive ovarian oedema, massive ovarian oedema case report or case series, and pseudotumour of ovary’. A total of 177 women who had undergone a variety of treatments were retrieved. We also report the management options we used for four women presenting to us between August 2000 and October 2011, as well as a review of the literature.Result:A total of 177 cases of massive ovarian oedema were identified. Out of these cases 151 (85.3%) were primary massive ovarian oedema; secondary massive ovarian oedema was identified in 26 (14.7%) cases. A salpingo-oophorectomy was done in 145 (81.9%) cases, 12 (6.8%) cases had an abdominal hysterectomy with bilateral salpingo-oophorectomy. A total of 76 (42.9%) cases intraoperatively were found to have ovarian torsions, and one patient with primary massive ovarian oedema had ascites. Conservative treatment was carried out in 20 (11.3%) patients; 14 of these had a wedge biopsy with frozen section and with or without ovarian suspension, one patient had diagnostic laparotomy, and five cases had only ultrasonographic or magnetic resonance imaging monitoring and symptomatic treatment. The four cases treated at the regional cancer institute from 2000 to 2011 revealed that the first three cases had salpingo-oophorectomy and the fourth case received a successful conservative treatment.Conclusion:The majority of massive ovarian oedemas will respond to judicious use of intraoperative wedge resection and frozen section for the confirmation of diagnosis. The detorsion and transfixation of the ovary or partial debulking and drainage of fluid accumulated in the cyst may be more appropriate to preserve hormonal function and fertility in these young women.

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Bilateral massive ovarian edema: a case report

Cited by 29 publications

References 0 publications

Hemorrhagic Corpus Luteum is Associated with Ovarian Edema

Hemorrhagic Corpus Luteum is Associated with Ovarian Edema

Massive edema of the ovary: case report

ecancermedicalscience

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