Abstract
Pelvic organ problem(s) should be suspected when a female patient experiences difficulty emptying her bladder (urinary retention), abdominal distention, and bloating. Clinical suspicion is increased if she also reports any sexual activity while not using barrier contraception or is inconsistent with the use of barrier contraception as this can increase the likelihood of a sexually transmitted disease which can ultimately mimic the same symptoms. Exams that aid in the diagnosis of bladder issues include bladder ultrasound, urine analysis, and cystoscopy. Ovarian serous cystadenomas are common benign epithelial neoplasms that can range in size from 1-30 cm, and can also mimic symptoms/signs associated with bladder issues. In this case study, we present a 23-year-old female patient that presented to the clinic with signs and symptoms of bladder issues including difficulty voiding and abdominal distention. Upon further workup of the patient, it was evident that the patient had a large cyst of the right ovary that was surgically removed. A pathologic exam revealed that it was a benign serous cystadenoma that measured an impressive 28 cms in diameter.
Highlights
Ovarian serous cystadenomas are common benign epithelial neoplasms that can range in size from 1-30 cm, and can mimic symptoms/signs associated with bladder issues
We present a 23-year-old female patient that presented to the clinic with signs and symptoms of bladder issues including difficulty voiding and abdominal distention
This information of genetics is important because it allows physicians to reassure patients that their condition is not implicated with mutations that could cause other disease states such as colorectal cancer [5] and melanoma [6]
Summary
The symptoms and signs associated with large tumors are nonspecific and most commonly include mass effect, pelvic pain, bloating, and discomfort [8] It is possible for patients with ovarian cystadenoma to present with issues that mimic bladder problems. The patient and physician decided to conduct another ultrasound in order to confirm that everything was normal and reassure the patient This postoperative ultrasound was completed and confirmed there were no abnormalities to the abdominal region and the ovaries were able to be appreciated. This is in contrast to the preoperative ultrasound which showed excess fluid that did not allow much of anything else to be visualized (Figure 3)
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