GIANT OVARIAN CYST PRESENTING AS EPIGASTRIC MASS-A CASE REPORT

Abstract

Giant ovarian cysts (GOCs) are rare tumours of the ovary presenting with diameters greater than 10 cm. Ovarian cysts are generally asymptomatic at early stages causing symptoms only after reaching enormous dimensions, and consequently they are often diagnosed late. Majority of GOCs are benign and are generally treated by surgical excision either by cystectomy or salpingo-oophorectomy. Malignant ovarian cysts (MOC) constitute over 10% of GOCs and are treated by total abdominal hysterectomy with bilateral salpingo-oophorectomy ± omentectomy .We encountered a 65 years old female who presented with the history of progressively increasing distension of upper abdomen for last 6 months. Abdominal examination revealed a uniformly large cystic mass in the epigastrium with ill-dened lower border. There was uniform fullness in both the anks. Contrast enhanced Computed Tomography suggested large well dened intra peritoneal cystic lesion with few thin internal sepatations probably cystic lesion from the ovary. Laparotomy was done and there was a large cystic mass arising from the pelvis which was excised with membranes intact. Bilateral oophorectomy with appendectomy was done. Histologically it was found to be mucinous cystadenoma.