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Massive ovarian oedema. Case report

A T Alberda, J W Wladimiroff, G Wielenga

    British Journal of Obstetrics and Gynaecology
    |May 1, 1981
    PubMed
    Summary
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    Massive ovarian edema in a young girl caused secondary amenorrhea and masculinization. Surgical removal of ovarian tissue normalized testosterone levels and restored irregular ovulation.

    Area of Science:

    • Reproductive Endocrinology
    • Gynecologic Pathology

    Background:

    • Massive ovarian edema is a rare condition characterized by excessive fluid accumulation within the ovarian stroma.
    • It can present with symptoms mimicking androgen excess, including menstrual irregularities and signs of masculinization.

    Observation:

    • A case study of a young girl presenting with secondary amenorrhea and clinical evidence of masculinization.
    • Markedly elevated peripheral plasma testosterone levels were noted pre-operatively.

    Findings:

    • Surgical wedge resection of both ovaries led to an immediate normalization of testosterone levels.
    • Microscopic examination revealed lutein cells within atretic follicles in the right ovary and Stein-Leventhal-like features in the left ovary.
    • Irregular ovulatory cycles resumed approximately four weeks post-surgery.

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    Implications:

    • This case highlights massive ovarian edema as a potential cause of secondary amenorrhea and hyperandrogenism in young females.
    • Surgical intervention, specifically wedge resection, can be effective in normalizing hormone levels and restoring ovulatory function.
    • Understanding the histopathological features is crucial for accurate diagnosis and management of this rare condition.