Cargando…
Massive ovarian edema with paraovarian cyst torsion treated with laparoscopic surgery: A case report
Massive ovarian edema is a rare gynecological entity resembling a solid ovarian tumor due to the accumulation of edematous fluid within the ovarian stroma. This condition can be easily mistaken for a neoplasm, resulting in overtreatment by removal of the whole affected ovary. The present study descr...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
D.A. Spandidos
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9829084/ https://www.ncbi.nlm.nih.gov/pubmed/36698534 http://dx.doi.org/10.3892/mi.2021.17 |
_version_ | 1784867402090020864 |
---|---|
author | Fukuda, Takeshi Imai, Kenji Yamauchi, Makoto Kasai, Mari Ichimura, Tomoyuki Yasui, Tomoyo Sumi, Toshiyuki |
author_facet | Fukuda, Takeshi Imai, Kenji Yamauchi, Makoto Kasai, Mari Ichimura, Tomoyuki Yasui, Tomoyo Sumi, Toshiyuki |
author_sort | Fukuda, Takeshi |
collection | PubMed |
description | Massive ovarian edema is a rare gynecological entity resembling a solid ovarian tumor due to the accumulation of edematous fluid within the ovarian stroma. This condition can be easily mistaken for a neoplasm, resulting in overtreatment by removal of the whole affected ovary. The present study describes the case of a 28-year-old woman who experienced massive ovarian edema with paraovarian cyst torsion treated with laparoscopic surgery. The patient experienced lower abdominal pain lasting for 1 week and visited a local clinic. The ultrasonographic examination revealed two loculated ovarian masses and the patient was then referred to the hospital. Transvaginal ultrasonographic examination revealed a 77.9-mm cystic lesion and a 57.7-mm solid lesion in the left adnexa. A magnetic resonance imaging examination revealed a 55-mm lesion with multiple peripheral ovarian follicles, which was isointense on T1-weighted images and hyperintense on T2-weighted images, and a 75-mm cystic lesion, without a solid component, which was hypointense on T1-weighted images and hyperintense on T2-weighted images in the left adnexa. There were no observed abnormalities of the right adnexa or uterus. Laparoscopic surgery was performed, based on a clinical suspicion of massive ovarian edema with paraovarian cyst torsion. Intraoperatively, a paraovarian cyst was identified in the left adnexa that was twisted 360˚. The size of the enlarged left ovary was reduced to almost normal following the detorsion of the left adnexa. The final diagnosis was that of a massive ovarian edema, which was treated by resecting the paraovarian cyst, while preserving the whole left ovary. The pathological examination of the resected paraovarian cyst revealed a serous cystadenoma. Therefore, the present study suggests that the presence of massive ovarian edema should be taken into consideration when encountering a complex solid ovarian mass with multiple peripheral ovarian follicles, particularly in cases with a history of recurrent abdominal pain. |
format | Online Article Text |
id | pubmed-9829084 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | D.A. Spandidos |
record_format | MEDLINE/PubMed |
spelling | pubmed-98290842023-01-24 Massive ovarian edema with paraovarian cyst torsion treated with laparoscopic surgery: A case report Fukuda, Takeshi Imai, Kenji Yamauchi, Makoto Kasai, Mari Ichimura, Tomoyuki Yasui, Tomoyo Sumi, Toshiyuki Med Int (Lond) Case Report Massive ovarian edema is a rare gynecological entity resembling a solid ovarian tumor due to the accumulation of edematous fluid within the ovarian stroma. This condition can be easily mistaken for a neoplasm, resulting in overtreatment by removal of the whole affected ovary. The present study describes the case of a 28-year-old woman who experienced massive ovarian edema with paraovarian cyst torsion treated with laparoscopic surgery. The patient experienced lower abdominal pain lasting for 1 week and visited a local clinic. The ultrasonographic examination revealed two loculated ovarian masses and the patient was then referred to the hospital. Transvaginal ultrasonographic examination revealed a 77.9-mm cystic lesion and a 57.7-mm solid lesion in the left adnexa. A magnetic resonance imaging examination revealed a 55-mm lesion with multiple peripheral ovarian follicles, which was isointense on T1-weighted images and hyperintense on T2-weighted images, and a 75-mm cystic lesion, without a solid component, which was hypointense on T1-weighted images and hyperintense on T2-weighted images in the left adnexa. There were no observed abnormalities of the right adnexa or uterus. Laparoscopic surgery was performed, based on a clinical suspicion of massive ovarian edema with paraovarian cyst torsion. Intraoperatively, a paraovarian cyst was identified in the left adnexa that was twisted 360˚. The size of the enlarged left ovary was reduced to almost normal following the detorsion of the left adnexa. The final diagnosis was that of a massive ovarian edema, which was treated by resecting the paraovarian cyst, while preserving the whole left ovary. The pathological examination of the resected paraovarian cyst revealed a serous cystadenoma. Therefore, the present study suggests that the presence of massive ovarian edema should be taken into consideration when encountering a complex solid ovarian mass with multiple peripheral ovarian follicles, particularly in cases with a history of recurrent abdominal pain. D.A. Spandidos 2021-10-12 /pmc/articles/PMC9829084/ /pubmed/36698534 http://dx.doi.org/10.3892/mi.2021.17 Text en Copyright: © Fukuda et al. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/4.0/) , which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. |
spellingShingle | Case Report Fukuda, Takeshi Imai, Kenji Yamauchi, Makoto Kasai, Mari Ichimura, Tomoyuki Yasui, Tomoyo Sumi, Toshiyuki Massive ovarian edema with paraovarian cyst torsion treated with laparoscopic surgery: A case report |
title | Massive ovarian edema with paraovarian cyst torsion treated with laparoscopic surgery: A case report |
title_full | Massive ovarian edema with paraovarian cyst torsion treated with laparoscopic surgery: A case report |
title_fullStr | Massive ovarian edema with paraovarian cyst torsion treated with laparoscopic surgery: A case report |
title_full_unstemmed | Massive ovarian edema with paraovarian cyst torsion treated with laparoscopic surgery: A case report |
title_short | Massive ovarian edema with paraovarian cyst torsion treated with laparoscopic surgery: A case report |
title_sort | massive ovarian edema with paraovarian cyst torsion treated with laparoscopic surgery: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9829084/ https://www.ncbi.nlm.nih.gov/pubmed/36698534 http://dx.doi.org/10.3892/mi.2021.17 |
work_keys_str_mv | AT fukudatakeshi massiveovarianedemawithparaovariancysttorsiontreatedwithlaparoscopicsurgeryacasereport AT imaikenji massiveovarianedemawithparaovariancysttorsiontreatedwithlaparoscopicsurgeryacasereport AT yamauchimakoto massiveovarianedemawithparaovariancysttorsiontreatedwithlaparoscopicsurgeryacasereport AT kasaimari massiveovarianedemawithparaovariancysttorsiontreatedwithlaparoscopicsurgeryacasereport AT ichimuratomoyuki massiveovarianedemawithparaovariancysttorsiontreatedwithlaparoscopicsurgeryacasereport AT yasuitomoyo massiveovarianedemawithparaovariancysttorsiontreatedwithlaparoscopicsurgeryacasereport AT sumitoshiyuki massiveovarianedemawithparaovariancysttorsiontreatedwithlaparoscopicsurgeryacasereport |