Massive Ovarian Oedema- A Case Report

Harke, Arun B; Sigamani, Karthik; Chitra, Tukkaram; Ramamurthy, Madhumittha; Sekar, M.

doi:10.7860/jcdr/2016/19419.8313

Cited by 7 publications

(18 citation statements)

References 5 publications

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“…Most of the cases described in the literature were overtreated [1,2]. The lesions were mistaken for primary ovarian neoplasm at laparotomy and unilateral salpingooophorectomy was done for majority as in our case [1,2].…”

Section: Discussionmentioning

confidence: 77%

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Benign Ovarian Edema Masquerading as Malignancy: A Case Report

Singh

Surampudi

Swain³

2017

J Obstet Gynecol India

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Subsequently, she joined the department of Obstetrics and Gynecology in a Government Hospital in New Delhi and worked there for one year. Later, she went on to successfully complete a fellowship in minimally invasive gynecologic surgery under the guidance of Dr. Rakesh Sinha in Mumbai. Ever since she has been attached to Fernandez Hospital, a reputed specialized tertiary referral center in Hyderabad, India (2015-till submission).

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Section: Discussionmentioning

confidence: 77%

“…Benign massive ovarian edema (MOE) is a rare clinical finding described in anecdotal case reports [1]. It presents clinically as an enlargement of the ovary.…”

Section: Introductionmentioning

confidence: 99%

Benign Ovarian Edema Masquerading as Malignancy: A Case Report

Singh

Surampudi

Swain³

2017

J Obstet Gynecol India

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“…1 Fibromatosis is characterized by proliferation of collagen-producing spindle cells enveloping normal follicular structures and thickening of the superficial cortex. 1,8 The similar age range, clinical manifestations and the overlap histological features suggest that ovarian fibromatosis and MOE are closely related and may reflect differing morphologic expressions of partial or intermittent torsion leading to venous/lymphatic obstruction. 1,3 Ovarian myxoma is a rare entity with ages ranging from 13 to 65 years and usually present with an asymptomatic unilateral adnexal mass which has soft and cystic consistency.…”

Section: Discussionmentioning

confidence: 98%

“…1,8 Sclerosing stromal tumor mostly present at age less than 30 years, and tumor is solid, well demarcated, whitish mass with occasional edema and cyst formation. 1,8 Microscopically, there is marked pseudolobulation consisting spindle-shaped cells and round cells, prominent sclerosis around clusters and individual cells, and prominent vasculature, which are not seen in MOE 1,8 Radiology along with serum tumors markers such as CA-125, β-HCG, lactic dehydrogenase and alpha-fetoprotein helps to differentiate MOE from dysgerminomatous and mixed germ cell tumors. 3 MOE had been over-treated in most of the cases reported with unilateral salpingo-oophorectomy as they are mistaken for ovarian neoplasm preoperatively.…”

Section: Discussionmentioning

confidence: 99%

“…3 MOE had been over-treated in most of the cases reported with unilateral salpingo-oophorectomy as they are mistaken for ovarian neoplasm preoperatively. 3,4,8 The suitable management of MOE is wedge resection which involves removal of 30% or more of the ovarian volume to exclude secondary MOE. [2][3][4]8 At the time of surgery, frozen section examination is also valuable in the diagnosis and preventing unnecessary oophorectomy due to fertility issues.…”

Section: Discussionmentioning

confidence: 99%

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Acute abdomen with a misleading clinical entity

Nigam

Ojha

Gargade

et al. 2017

SAGE Open Medical Case Reports

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Massive ovarian edema is a rare, non-neoplastic solid tumor-like lesion. It results from compromised venous and lymphatic drainage due to partial or intermittent torsion of ovarian pedicle. Pain, distension or abdominal mass, menstrual irregularities, infertility and hormone-related symptoms can be the clinical presentation. We report a case of massive ovarian edema in a 28-year-old female who presented with acute pain abdomen. She was diagnosed clinico-radiologically with solid ovarian tumor and massive ovarian edema on histology. Massive ovarian edema should be suspected in female of reproductive age group presenting with abdominal pain, solid enlargement of ovary on radiology and normal serum tumor markers.

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Laparoscopic surgery for massive ovarian edema during pregnancy: A case report

Saito

Yamamoto

Iwaizumi

et al. 2021

Case Reports in Women's Health

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Massive ovarian edema (MOE) is a rare non-neoplastic clinicopathologic disease that is characterized by stromal edema and is caused by the partial or intermittent obstruction of venous and lymphatic drainage. The literature on MOE contains approximately 200 cases, but only 12 cases of MOE during pregnancy have been reported to date. We report a case of MOE at 22 weeks of gestation that was diagnosed preoperatively, and the patient underwent laparoscopic surgery. Accurate preoperative diagnosis of MOE is important because it enables the selection of a therapeutic option, such as fundamental surgery, including adnexectomy; conservative surgery, including the release of torsion and ovarian biopsy; and conservative treatment without surgery. MOE should be considered as a differential diagnosis for an enlarged ovary during pregnancy. Laparoscopic surgery may be a useful therapeutic option for MOE, especially during pregnancy.

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Massive Ovarian Oedema- A Case Report

Cited by 7 publications

References 5 publications

Benign Ovarian Edema Masquerading as Malignancy: A Case Report

Benign Ovarian Edema Masquerading as Malignancy: A Case Report

Acute abdomen with a misleading clinical entity

Laparoscopic surgery for massive ovarian edema during pregnancy: A case report

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