LAPAROSCOPIC MANAGEMENT OF A RARE CASE OF BILATERAL GIANT OVARIAN CYST IN A YOUNG UNMARRIED GIRL: AN INDEX CASE

Abstract

Introduction: Nowadays it is rare to nd giant ovarian cysts as they are diagnosed and managed early due to easy access to the good imaging modalities. Traditionally the treatment modality is conventional midline laparotomy. Here we present a case of laparoscopic ovarian cystectomy with keeping the healthy ovarian stroma intact in a case of bilateral giant dermoid ovarian cyst. A 27-year-old unmarried womanCase Report: presented with the symptoms of progressive abdominal distension over 6 months and vague abdominal pain of 1week duration. There was no history of bowel/bladder disturbances, loss of weight/appetite, no history of menstrual irregularities. No relevant medical and surgical history but on Preoperative work up she was diagnosed with hypothyroidism. On per abdominal examination a 22 to 24-week size rm non-tender mass with smooth surface was palpable. Upper and lateral borders well dened. Lower border not felt. There was restricted transverse mobility and no bruit over mass with no ascites. On Ultrasonography revealed suspicion of Dermoid cyst with suspected torsion. Uterus—anteverted, normal size. No free uid seen. CECT of the abdomen and pelvis conrmed Multiple bilateral ovarian dermoids (Left> Right). She was then taken up for laparoscopic ovarian cystectomy. Left Ovarian mass around 24-week size and the right ovarian mass was 10X12 cm. in size. Her histopathology report revealed the presence of bilateral dermoid ovarian cyst. After exclusion of possibility of malignancy with normal tumor markerConclusion: prole and appearance on imaging modalities, it is possible to manage giant ovarian cyst laparoscopically.