Abstract

Massive ovarian oedema is a rare entity, non-neoplastic tumor of the ovary. We report a case of massive ovarianoedema (MOO) in a 18-year-old female who presented with abdominal pain along with large solid pelvis mass. It iswidely accepted that MOO results from the incomplete torsion of the ovary causing accumulation of fluid within the stroma and enlargement of the ovary. Awareness of this rare lesion due to its lack of pathognomonic features may allow surgeons to a conservative management preventing unnecessary oophorectomy in young patients.

Highlights

  • IntroductionA 18-year-old unmarried girl was referred to our clinic with self-limited and vague abdominal pain for 3 months with no relieving or aggravating factors

  • We report a case of massive ovarian oedema (MOO) in a 18-year-old female who presented with abdominal pain along with large solid pelvis mass

  • It is widely accepted that MOO results from the incomplete torsion of the ovary causing accumulation of fluid within the stroma and enlargement of the ovary

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Summary

Introduction

A 18-year-old unmarried girl was referred to our clinic with self-limited and vague abdominal pain for 3 months with no relieving or aggravating factors. Her menstrual cycles were regular and had rheumatoid arthritis controlled by immunosuppressive disease-modifying anti rheumatic drug. On physical examination, she had a non-tender mobile adnexal mass measuring 14 cm, extending from the pelvis to the liver. Normal germinal follicles were present without signs of necrosis, but abundant cystic lesions were seen on the upper surface of the ovary (Figure 2 and 3)

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