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Acute abdomen with a misleading clinical entity
Jitendra Singh Nigam1, Pushpanjali Ojha1, Chitrawati Bal Gargade1
1Department of Pathology, Andaman & Nicobar Islands Institute of Medical Sciences, Port Blair, India.
SAGE Open Medical Case Reports
|December 15, 2017
Summary
Massive ovarian edema, a rare condition, presents as a solid ovarian enlargement mimicking a tumor. Prompt diagnosis is crucial for reproductive-aged women experiencing abdominal pain and ovarian abnormalities.
Area of Science:
- Gynecology
- Pathology
Background:
- Massive ovarian edema is a rare, benign condition often mistaken for a neoplastic ovarian tumor.
- It arises from compromised venous and lymphatic drainage, frequently associated with ovarian pedicle torsion.
Observation:
- A 28-year-old female presented with acute abdominal pain, clinico-radiologically diagnosed as a solid ovarian tumor.
- Histological examination confirmed massive ovarian edema.
Findings:
- Massive ovarian edema presents as a solid, tumor-like ovarian lesion.
- Clinical symptoms include abdominal pain, distension, menstrual irregularities, and hormonal disturbances.
Implications:
- Suspicion of massive ovarian edema is warranted in reproductive-aged females with abdominal pain and radiologically enlarged ovaries.
- Normal serum tumor markers alongside imaging findings can aid in differentiating it from ovarian malignancies.
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