Giant Ovarian Cysts: A Case Series

AP Aba,BT Utoo,OO Olagbaye

doi:10.46912/jbrcp3i1.2020141

Abstract

Giant ovarian cysts are rare and are almost no longer reported in medical literature. Except where good diagnostic imaging procedure is performed, they could be mistaken for massive abdominal ascites. Here we report 2 cases which were diagnosed at a medical missions facility during a free medical outreach program in March 2017. The patients presented with gross abdominal distention. Ultrasound scan revealed cystic ovarian tumors in both cases with no suspicious finding for malignancy. Salpingo-ophorectomies were carried out at laparatomies through midline incision extending from below the epigastric to just above the suprapubic. Patients were treated with postoperative antibiotics and analgesics and discharged home after 7 days on admission. They were followed up for 2 years and both recovered well without recurrence. Cystectomy without pre-operative drainage remains the modality of treatment in our environment.

Highlights

Benign cysts of the ovary are not uncommon, giant ovarian cysts presenting with massive abdominal distention are rare.[1]
One of the cases spent months in prayer houses seeking for spiritual solution to her predicament! The symptomatology reported in most literatures ranging from no complaints to symptoms of abdominal pain and some gastrointestinal disturbances which are dependent on the size of the mass were partly observed in our patients.[3]
There was no leg edema suggesting compression on the inferior vena cava. Imaging procedures such as Ultrasonography, CT scans, MRI and color Doppler are useful in diagnosis,[8] it is worthy to mention at this point that, misdiagnosis could be done which may lead to suboptimal care administered to the patient as observed by Mikos et al.[4]

Summary

Introduction

Benign cysts of the ovary are not uncommon, giant ovarian cysts presenting with massive abdominal distention are rare.[1]. Benign cysts of the ovary are not uncommon, giant ovarian cysts presenting with massive abdominal distention are rare.[1] Affected patients may be undiagnosed.[1, 2]

Results

Conclusion