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Updated: Oct 9, 2025

A Coregistered Ultrasound and Photoacoustic Imaging Protocol for the Transvaginal Imaging of Ovarian Lesions
Published on: March 3, 2023
Massive ovarian edema masquerading as an androgen-secreting tumor
Martins Ayoola-Adeola1, Ramya Sethuram2, Damla Celen Gonullu1
1Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit, Michigan.
Objective:
To highlight the management of massive ovarian edema in young reproductive-age women.
Design:
A case report of a healthy female with clitoromegaly and elevated androgen levels secondary to massive ovarian edema.
Setting:
Reproductive Endocrinology and Infertility Department of an academic hospital.
Patient:
A healthy 20-year-old woman who presented for routine gynecological care and was found to have a 2-cm clitoromegaly and elevated androgen levels.
Interventions:
The patient underwent a diagnostic laparoscopy and right oophorectomy.
Main Outcome Measures:
Measurement of androgen levels.
Results:
Final pathology showed massive edema of the ovary with no evidence of malignancy or androgen-secreting tumor cells. In addition, resolution of the elevated androgen levels was observed.
Conclusions:
Massive ovarian edema due to asymptomatic subacute torsion should be included in the differential diagnosis of reproductive-age patients who present with ovarian mass and hyperandrogenemia within the tumor range. Although not performed in our case, conservative management that involves detorsion, ovarian biopsy, and oophoropexy to prevent a recurrence should be the treatment of choice.
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