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Updated: Jul 24, 2025
11:29
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
14.3K
[Pseudoascitis by giant ovaric cyst]
Dino Moretti1, Maria Belen Garay Contreras2, Matias Miguel Talamona3
1Medico. Servicio de Clínica Médica, Sanatorio Delta.. morettidino@hotmail.com.
Summary
Pseudoascites can mimic ascites due to abdominal distension without free fluid. A giant ovarian cyst was mistaken for ascites, highlighting the need for advanced imaging before paracentesis.
Area of Science:
- Gynecology
- Radiology
- Gastroenterology
Background:
- Ascites, characterized by excess peritoneal fluid, presents with abdominal distension.
- Pseudoascites refers to conditions mimicking ascites without free peritoneal fluid.
Observation:
- A 66-year-old woman with hypertension and hypothyroidism presented with progressive abdominal distension.
- Initial ultrasound suggested abundant free fluid, leading to an unnecessary paracentesis.
- Subsequent CT scan revealed a large (295mm x 208mm x 250mm) cystic mass.
Findings:
- The mass was diagnosed as a mucinous ovarian cystadenoma after left adnexectomy.
- This case highlights a giant ovarian cyst as a cause of pseudoascites.
- Misinterpretation of ultrasound findings can lead to invasive procedures.
Implications:
- Advanced imaging like CT or MRI is crucial when typical ascites signs are absent.
- Paracentesis should be considered cautiously in cases of suspected pseudoascites.
- Accurate diagnosis prevents potentially harmful interventions and guides appropriate treatment.
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