Abstract
A case of 66-year-old South Indian post menopausal woman presenting a giant ovarian serous cyst adenoma weighing 23 kg is reported here. A 66-year-old woman was referred to our clinic from a local medical center. When she was seen first at our outpatient clinic, she had gross abdominal distension since 2 years and she was unable to walk. On abdominal ultrasound, a giant cyst was found which encompassed the whole abdomen. At laparotomy, a giant, totally cystic, vascularized and smooth mass attached to the right ovary was encountered. Staging laparotomy was performed. On the postoperative tenth day, she was discharged without any problem. Her pathology report disclosed a 60×47×30 cm serous cyst adenoma weighing 23 kg. This is the largest ovarian cyst that ever reported from our hospital and one of the largest among the reported cases in the literature.
Highlights
A giant, totally cystic, vascularized and smooth mass attached to the right ovary was encountered
Ovarian neoplasms may be divided by origin cell type into three main groups: epithelial, stromal and germ cell
Case presentation A 66 year old South Indian post menopausal woman presented at the outpatient department with gradually increasing abdominal swelling first noticed 2 years back
Summary
Ovarian neoplasms may be divided by origin cell type into three main groups: epithelial, stromal and germ cell. There was no history of colicky pain, fainting attacks, vomiting or other gastrointestinal disturbances. Her bowel and bladder habits were normal. Case presentation A 66 year old South Indian post menopausal woman presented at the outpatient department with gradually increasing abdominal swelling first noticed 2 years back. Due to the huge mass she was unable to walk and On general examination, she was thin built and undernourished. Large cystic mass seen occupying the whole abdomen and with multiple septations. Magnetic resonance imaging confirmed the diagnosis of right sided ovarian cyst with multiple thin septations. The mass originated from the right ovarian region. Total abdominal hysterectomy with salpingoopherectomy was done Both tubes and ovaries, and the uterus were healthy. Patient did not have any urinary problem and the hydronephrotic changes in the kidneys gradually resolved after 3 months
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