Diagnosis and management of a giant ovarian cyst in the gravid-puerperium period: a case report

Kiemtoré, Sibraogo; Zamané, Hyacinthe; Sawadogo, Yobi Alexis; Sib, Rodrigue Sansan; Komboigo, Évelyne; Ouédraogo, Ali; Bonané, B.

doi:10.1186/s12884-019-2678-8

Cited by 13 publications

(17 citation statements)

References 12 publications

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“…Many experts advise against aspirating the contents of the cyst because of problems such as infection, hemorrhage, cyst rupture, and a higher risk of peritoneal adhesion. An immediate complication to be feared when removing a giant ovarian cyst is the vacuum shock requiring a good preventive vascular filling ( 14 , 15 ).…”

Section: Discussionmentioning

confidence: 99%

A Giant Ovarian Cystadenoma in A 20-Year-Old Nulliparous Woman: A Case Report

et al. 2022

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Giant ovarian cyst itself is defined as a cyst >10 cm in diameter from radiological- examination or the size of the cyst exceeds the umbilicus. Extra-large benign and malignant cysts of the ovary are uncommon and involve diagnostic and management challenges. We present the case of a 20-year-old nulliparous woman who was referred to our center with complaints of abdominal pain and heavy breathing. She benefited from a salphingo-oophorectomy laparotomy procedure. Benign and malignant gynecologic and non-gynecologic etiologies are included in the differential diagnosis of an abdominal mass. Because of the infrequent occurrence or absence of distinctive clinical presentation of the giant ovarian cyst, accurate preoperative diagnosis is challenging.

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Section: Discussionmentioning

confidence: 99%

A Giant Ovarian Cystadenoma in A 20-Year-Old Nulliparous Woman: A Case Report

et al. 2022

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“…The differential diagnoses of giant ovarian cysts are extensive and can include benign and malignant gynecologic and non-gynecologic diagnoses [17] ranging from a distended bladder, hydronephrosis, ascites, accentuated obesity, pregnancy, fibroids, and intra-abdominal and adnexal masses.…”

Section: Differential Diagnosesmentioning

confidence: 99%

Clinician Beware, Giant Ovarian Cysts are Elusive and Rare

Albers¹,

Ranjit²,

Sapra³

et al. 2020

Cureus

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Giant ovarian cysts, which are described in the literature as measuring more than 10 cms in size in their largest diameter, are rare in occurrence. With the availability of multiple imaging modalities and routine physical examinations, it has become even rarer to find such cases. Ovarian serous cystadenomas, which are benign tumors arising from the ovarian epithelium, represent the most common type. We present a case of a 58-year-old female who came to establish primary care in our clinic. She reported ongoing symptoms of constipation, abdominal discomfort, bloating, as well as intermittent postmenopausal bleeding for the past few months. The patient reported taking over-the-counter medications for her predominant gastrointestinal symptoms with no improvement at all. Transvaginal ultrasonography (TVUS) and magnetic resonance imaging (MRI) of the pelvis revealed the presence of giant bilateral ovarian masses measuring more than 17 X 10cms each. Further testing revealed highly elevated levels of tumor markers cancer antigen 125 (CA-125) and human epididymis protein 4 (HE-4). The patient subsequently underwent total abdominal hysterectomy (TAH) and bilateral salpingo-oophorectomy (BSO). Her histopathology report revealed the presence of bilateral benign cystadenomas. From a primary care physician's perspective, this case highlights the importance of possible rare pathologies that can present with symptoms of a completely unrelated organ system. Even with the rarity of these cases, a clinician may encounter such a case in their everyday practice. Patients can endorse a plethora of vague complaints, often masquerading other entities seen commonly in the clinic.

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“…The diagnosis is suspected in the presence of a series of arguments combining the patient's history, clinical signs, and ultrasound results [2]. Treatment is surgical by laparoscopy or laparotomy [4]. The prognosis depends on the benign or malignant nature of the cyst and the diagnostic and therapeutic speed.…”

Section: Introductionmentioning

confidence: 99%

Torsion of a Large Ovariancyst during the Postpartum Period: A Case Report from the Niger-Turkey Friendship Hospital in Niamey

Garba¹,

Diaouga²,

Idi³

et al. 2022

OJOG

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Adnexal torsion is defined by the existence of a partial or complete torsion of the ovary and a tubal portion around its vascular pedicle. It is a rare gynecological emergency. We report the case of adnexal torsion on a large postpartum ovarian cyst in a 40-year-old patient. The diagnosis was suspected based on clinical and ultrasound signs and confirmed by exploratory laparotomy. The appearance of the cyst was suggestive of a mucinous cystadenoma of the ovary. The treatment was radical by performing an adnexectomy. The surgical piece weighed 5.2 kg. The postoperative course was simple. Anatomopathological examination had not been carried out; the parents had buried the operating piece.

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Diagnosis and management of a giant ovarian cyst in the gravid-puerperium period: a case report

Cited by 13 publications

References 12 publications

A Giant Ovarian Cystadenoma in A 20-Year-Old Nulliparous Woman: A Case Report

A Giant Ovarian Cystadenoma in A 20-Year-Old Nulliparous Woman: A Case Report

Clinician Beware, Giant Ovarian Cysts are Elusive and Rare

Torsion of a Large Ovariancyst during the Postpartum Period: A Case Report from the Niger-Turkey Friendship Hospital in Niamey

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