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Updated: Jun 22, 2026

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma

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[Massive ovarian edema: a case report].

A Benhaddou¹, O Nore, C Hopfner

¹Service de gynécologie et obstétrique, centre hospitalier de Vitry-le-François, 51300 Vitry-le-François, France. a.benhaddou@ch-vitrylefrancois.fr

Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction

|June 2, 2009

Summary

This summary is machine-generated.

Massive ovarian oedema (MOO) is a rare ovarian pseudotumour often misdiagnosed as cancer. Prompt diagnosis via laparoscopy and biopsy is crucial to prevent fertility-compromising treatments.

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Area of Science:

Gynecologic pathology
Reproductive endocrinology
Surgical oncology

Background:

Massive ovarian oedema (MOO) is a rare benign ovarian condition.
It is frequently misdiagnosed as ovarian malignancy, leading to overtreatment.
This can compromise fertility and hormonal function in young women.

Observation:

A case of MOO in a 29-year-old nulligravid patient presenting with acute abdomen.
Ovarian enlargement (75x51 mm) detected via ultrasonography.
Laparoscopic partial ovarian resection performed; histological diagnosis of MOO confirmed.

Findings:

Histological examination is the definitive diagnostic method for MOO.
Ovarian torsion was not observed in this case.
MOO can mimic ovarian torsion clinically and sonographically.

Implications:

Exploratory laparoscopy with biopsy is recommended for suspected ovarian hypertrophy in symptomatic young women.
Early diagnosis prevents unnecessary radical surgeries like oophorectomy.
Preserving ovarian function and fertility is paramount in managing MOO.