Massive Ovarian Edema and Contralateral Mature Cystic Teratoma: Asymptomatic Presentation in a Premenarchal Female

Peters, Fabian; Brunell, Carol; Benjamin, E.

doi:10.1016/j.jpag.2008.09.005

Cited by 5 publications

(1 citation statement)

References 6 publications

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“…Massive edema of the ovary is a rare condition affecting mainly young women (mean age, 20 years); however, premenarcheal (2) or menopausal women (3) have been reported to be affected as well. Massive ovarian edema is characterized by a build-up of interstitial fluid without neoplastic changes, and it is mainly considered to be the consequence of torsion of the ovary, despite the fact that there are several reported cases without torsion observed during surgery (4)(5)(6)(7). However, this condition can be easily mistaken for a neoplasm, resulting in overtreatment by the removal of the whole affected ovary.…”

Section: Introductionmentioning

confidence: 99%

Massive ovarian edema with paraovarian cyst torsion treated with laparoscopic surgery: A case report

Fukuda

Imai

Yamauchi

et al. 2021

Med Int

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Massive ovarian edema is a rare gynecological entity resembling a solid ovarian tumor due to the accumulation of edematous fluid within the ovarian stroma. This condition can be easily mistaken for a neoplasm, resulting in overtreatment by removal of the whole affected ovary. The present study describes the case of a 28-year-old woman who experienced massive ovarian edema with paraovarian cyst torsion treated with laparoscopic surgery. The patient experienced lower abdominal pain lasting for 1 week and visited a local clinic. The ultrasonographic examination revealed two loculated ovarian masses and the patient was then referred to the hospital. Transvaginal ultrasonographic examination revealed a 77.9-mm cystic lesion and a 57.7-mm solid lesion in the left adnexa. A magnetic resonance imaging examination revealed a 55-mm lesion with multiple peripheral ovarian follicles, which was isointense on T1-weighted images and hyperintense on T2-weighted images, and a 75-mm cystic lesion, without a solid component, which was hypointense on T1-weighted images and hyperintense on T2-weighted images in the left adnexa. There were no observed abnormalities of the right adnexa or uterus. Laparoscopic surgery was performed, based on a clinical suspicion of massive ovarian edema with paraovarian cyst torsion. Intraoperatively, a paraovarian cyst was identified in the left adnexa that was twisted 360˚. The size of the enlarged left ovary was reduced to almost normal following the detorsion of the left adnexa. The final diagnosis was that of a massive ovarian edema, which was treated by resecting the paraovarian cyst, while preserving the whole left ovary. The pathological examination of the resected paraovarian cyst revealed a serous cystadenoma. Therefore, the present study suggests that the presence of massive ovarian edema should be taken into consideration when encountering a complex solid ovarian mass with multiple peripheral ovarian follicles, particularly in cases with a history of recurrent abdominal pain.

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Section: Introductionmentioning

confidence: 99%

Massive ovarian edema with paraovarian cyst torsion treated with laparoscopic surgery: A case report

Fukuda

Imai

Yamauchi

et al. 2021

Med Int

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Multimodality imaging findings of massive ovarian edema in children

et al. 2017

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Massives Ovarialödem bei einem 13-jährigen Mädchen

et al. 2013

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Massive ovarian edema is a rare tumor-like condition found in young women resulting from accumulation of fluid mostly due to partial or intermittent torsion of the ovary or secondary, to a preexisting ovarian lesion. We report a case of a 13-year-old girl presenting with an ovarian mass measuring 16 cm. CA-12-5 levels were slightly elevated. Concerns regarding underlying malignancy led to salpingo-oophorectomy. Pathological evaluation revealed a massive ovarian edema and multiple thromboses of ovarian veins. Differentiating massive ovarian edema from malignant ovarian tumor is crucial to prevent patients from undergoing unnecessary surgery.

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Massive Ovarian Edema and Contralateral Mature Cystic Teratoma: Asymptomatic Presentation in a Premenarchal Female

Cited by 5 publications

References 6 publications

Massive ovarian edema with paraovarian cyst torsion treated with laparoscopic surgery: A case report

Massive ovarian edema with paraovarian cyst torsion treated with laparoscopic surgery: A case report

Multimodality imaging findings of massive ovarian edema in children

Massives Ovarialödem bei einem 13-jährigen Mädchen

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