Anaesthetic implications and management of a giant ovarian cyst

With improvement in health care, improved access to hospitals and better imaging modalities, huge abdominal tumours are rarely seen in modern day surgical practice. They present many challenges to anaesthesiologists. Difficult intubations, life threatening cardiovascular and pulmonary complications, are commonly encountered. Management of such cases is associated with significant mortality and morbidity. The consequences of surgery are mainly attributable to the size of the mass rather than to its distinctive pathology. We hereby report a very rare case of a giant ovarian cyst weighing 57kg, which was successfully managed by a careful pre-operative evaluation, maintenance of intraoperative haemodynamic and fluid management.