A Case Report of Massive Ovarian Edema Expressing Ovarian Torsion

Abstract

Introduction: Massive ovarian edema is a rare clinical entity arising from the ovaries, and it poses a significant clinical challenge as it can be easily mistaken for neoplasm. The entity is not well known by clinicians and radiologists. This is a case report of a young patient of 16 diagnosed as massive ovarian edema. Case Presentation: Patient aged of 16 admitted for acute pelvic pain who benefited from ultrasound finding a large cystic and edematous right ovary with suspicion of sub torsion. A MRI was done and concluded to a massive edematous ovary which was firstly treated by symptomatic management with goode volution. 2 weeks later the patient came with a huge pain. Emergency laparotomy was done with salpingo ovariectomy. Conclusion: Recognition of massive ovarian edema is of great importance to prevent unnecessary salpingo ovariectomy in young patients. It can hide adnexa torsion which should be managed on time to avoid ovarian necrosis.