Ovarian Tumors Complicating Pregnancy**Presented at the Twenty-first Annual Meeting of the Central Association of Obstetricians and Gynecologists, Houston, Texas, Nov. 5, 6, and 7, 1953.

Gustafson, Gerald W.; Gardiner, Sprague H.; Stout, Francis E.

doi:10.1016/s0002-9378(16)38490-3

Cited by 47 publications

(5 citation statements)

References 2 publications

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“…The reported cases of MOE during pregnancy are summarized in Table 1 [ 1 , 2 , [5] , [6] , [7] , [8] , [10] , [11] , [12] , [13] ]. Including our case of MOE during pregnancy, the median size of the enlarged ovary in reported cases is 10 cm (range: 5–28 cm), and in 71.4% of the cases the lesions are on the right.…”

Section: Discussionmentioning

confidence: 99%

“… Author [reference no.] Age Gestational week Symptom Site of ovarian edema Size (cm) Torsion Treatment Pregnancy outcome Gustafson GW [ 2 ] 22 24 Abdominal pain Left 9 ND Oophorectomy Stillbirth at 24 weeks Chervenak FA [ 5 ] 19 32 Abdominal pain Right 28 × 26 × 9 Yes Right oophorectomy, Left biopsy Vaginal delivery at 32 weeks (2 days after surgery) Young RH [ 13 ] 16 First trimester Abdominal pain Right 8 Yes Oophorectomy ND Weinreb JC [ 12 ] ND 11 Abdominal pain Right 5 × 3.5 Yes ND ND Lambert B [ 7 ] 26 1; 12 2; 27 Abdominal pain 1; Right 2; Left 1; 12 × 15 2; 11 × 5 × 2 1; Yes 2; No 1; Oophorectomy 2; Partial resection after delivery Delivery at 33 weeks Hall BP [ 6 ] 21 17 None Right 10 × 8.5 × 5 Partially Oophorectomy ND Schmidt P [ 11 ] 28 16 None Right 11.5 No Oophorectomy Normal delivery Kawaguchi R [ 8 ] 40 12 ...…”

Section: Discussionmentioning

confidence: 99%

“…To date, approximately 200 cases of MOE have been reported. MOE during pregnancy was first reported by Gustafson in 1954 [ 2 ], and only 12 such cases have been reported in the literature. We report a case of MOE that occurred at 22 weeks of gestation and was diagnosed preoperatively.…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic surgery for massive ovarian edema during pregnancy: A case report

Saito

Yamamoto

Iwaizumi

et al. 2021

Case Reports in Women's Health

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Massive ovarian edema (MOE) is a rare non-neoplastic clinicopathologic disease that is characterized by stromal edema and is caused by the partial or intermittent obstruction of venous and lymphatic drainage. The literature on MOE contains approximately 200 cases, but only 12 cases of MOE during pregnancy have been reported to date. We report a case of MOE at 22 weeks of gestation that was diagnosed preoperatively, and the patient underwent laparoscopic surgery. Accurate preoperative diagnosis of MOE is important because it enables the selection of a therapeutic option, such as fundamental surgery, including adnexectomy; conservative surgery, including the release of torsion and ovarian biopsy; and conservative treatment without surgery. MOE should be considered as a differential diagnosis for an enlarged ovary during pregnancy. Laparoscopic surgery may be a useful therapeutic option for MOE, especially during pregnancy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Laparoscopic surgery for massive ovarian edema during pregnancy: A case report

Saito

Yamamoto

Iwaizumi

et al. 2021

Case Reports in Women's Health

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“…The literature contains only around 130 cases since the first case was reported by Kalstone et al (1969), and only 9 cases have been reported during pregnancy (Hall et al 1993; Gustafson et al 1954; Chervenak et al 1980; Weinreb et al 1986; Lambert and Lessard 1987; Schmidt et al 2007; Coakley et al 2010). While MOE may occur at any maternal age, it tends to be more common in young women, with a mean age at diagnosis of 20 years (Geist et al 2005; Chervenak et al 1980).…”

Section: Discussionmentioning

confidence: 99%

“…It mainly resulted from partial or intermittent torsion of the ovary with obstruction of venous and lymphatic drainage. MOE is a rare disease and few reports have demonstrated magnetic resonance (MR) findings of MOE in pregnancy (Kalstone et al 1969; Geist et al 2005; Hall et al 1993; Gustafson et al 1954; Chervenak et al 1980; Weinreb et al 1986; Lambert and Lessard 1987; Schmidt et al 2007; Coakley et al 2010). We report here a case of MOE in a patient at 12 weeks’ gestation.…”

Section: Introductionmentioning

confidence: 99%

Magnetic resonance imaging features of massive ovarian edema in pregnancy: utility for decisions in expectant management

et al. 2016

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IntroductionMassive ovarian edema (MOE) is a rare disease and few reports have described the magnetic resonance (MR) imaging manifestations in pregnancy.Case descriptionWe report here a case of MOE in a patient at 12 weeks’ gestation. Abdominal T2-weighted MR images showed asymmetric ovarian enlargement in a teardrop configuration, hyperintense peripherally displaced follicles, and twisting of the vascular pedicle between the enlarged ovary and uterus. The diagnosis of MOE due to ovarian torsion was confirmed by exploratory laparotomy. Preoperative imaging, especially the MR imaging could distinguish MOE from other conditions and demonstrate the relations of adjunct organ, and allowed for untwisting during laparotomy with successful preservation of the ovary.Discussion and evaluationUltrasonography is important in detecting, evaluating, and determining the malignant potential of adnexal masses in pregnancy, but its findings may be nonspecific and then MR may assist characterization. This case was tentatively diagnosed as typical MOE by preoperative imaging, but the shape and location of the hugely enlarged ovarian mass suggested torsion of the ovarian pedicle. In our case, the diagnosis was confirmed by exploratory laparotomy and the pedicle was successfully untwisted.ConclusionMR imaging proved useful for decisions on expectant management of MOE in pregnancy, and the patient’s affected ovary could be preserved.

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Krukenberg tumors: Diagnostic problem

Diddle

1955

Cancer

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Ovarian Tumors Complicating Pregnancy**Presented at the Twenty-first Annual Meeting of the Central Association of Obstetricians and Gynecologists, Houston, Texas, Nov. 5, 6, and 7, 1953.

Cited by 47 publications

References 2 publications

Laparoscopic surgery for massive ovarian edema during pregnancy: A case report

Laparoscopic surgery for massive ovarian edema during pregnancy: A case report

Magnetic resonance imaging features of massive ovarian edema in pregnancy: utility for decisions in expectant management

Krukenberg tumors: Diagnostic problem

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