Giant ovarian cyst--an unusual finding

Area of Science:

• Gynecology
• Surgical Oncology
• Pathology

Background:

• Ovarian cysts are common in women of reproductive age.
• Giant ovarian cysts are rare and can cause significant symptoms due to mass effect.
• Early diagnosis and surgical intervention are crucial for managing large ovarian masses.

Observation:

• A 16-year-old girl presented with severe abdominal distension, vomiting, constipation, and dyspnea.
• Physical examination revealed a grossly distended abdomen with positive fluid thrill.
• Ultrasonography showed a massive cystic collection with internal debris and septations, originating from the right ovary.

Findings:

• Laparotomy revealed a giant ovarian cyst measuring 45 x 32 x 28 cm and weighing 18 kg.
• The cyst constituted nearly one-third of the patient's total body weight.
• Histopathological examination confirmed the diagnosis of mucinous cystadenoma.

Implications:

• This case highlights the possibility of extremely large benign ovarian neoplasms in adolescents.
• Surgical management of giant ovarian cysts requires careful planning and execution.
• Prompt diagnosis and treatment are essential to prevent complications and ensure favorable outcomes.