Abstract:Background: Giant ovarian tumors are now rarely encountered, because of the wide availability of medical care, and most cases are benign. Case: A rare case of a giant ovarian cystadenoma in a 41-year-old woman, with such severe abdominal distension that she could not walk, is reported. Her abdominal girth was 141 cm. The patient was 151 cm tall and weighed 92.6 kg. Computed tomography (CT) showed a large, multilocular, cystic tumor that occupied the whole abdomen. The preoperative diagnosis was malignant ovari… Show more
“…14 Since then, Abe et al identified 22 cases of ovarian tumors reported in the literature measuring between 47 kg and 134 kg. 11 The cysts were benign in 72.7% of cases and borderline or malignant in 27.2% of cases. 11,15 In a literature review, Einenkel et al found an overall malignancy rate of 37% in giant ovarian cysts.…”
Section: Discussionmentioning
confidence: 94%
“…11 The cysts were benign in 72.7% of cases and borderline or malignant in 27.2% of cases. 11,15 In a literature review, Einenkel et al found an overall malignancy rate of 37% in giant ovarian cysts. 12 The differential diagnosis can be difficult to establish in the presence of abundant ascites.…”
Section: Discussionmentioning
confidence: 94%
“…These giant ovarian cysts are associated with uncomfortable abdominal distension, heaviness, weight gain, difficulty with walking, discomfort when recumbent, dyspnea or orthopnea, and tachycardia. 11,12 Giant cysts, as reported in the literature, might compress the inferior vena cava causing lower-limb edema, compression of the diaphragm with risks of atelectasis, pulmonary edema, and more seriously, abdominal compartment syndrome. 1,11,13 In 1905 Spohn reported a 328 pound ovarian tumor.…”
Section: Discussionmentioning
confidence: 99%
“…11,12 Giant cysts, as reported in the literature, might compress the inferior vena cava causing lower-limb edema, compression of the diaphragm with risks of atelectasis, pulmonary edema, and more seriously, abdominal compartment syndrome. 1,11,13 In 1905 Spohn reported a 328 pound ovarian tumor. 14 Since then, Abe et al identified 22 cases of ovarian tumors reported in the literature measuring between 47 kg and 134 kg.…”
Section: Discussionmentioning
confidence: 99%
“…However, it must be performed gradually, with the aim of avoiding long drainage tubes that carry risks of infection, peritonitis, and sudden massive bleeding. 11 The major drawback of drainage however, is the potential dissemination into the peritoneal cavity of a peritoneal carcinoma or gelatinous disease of the peritoneum caused by rupture of a mucinous cyst. 12 Several studies have shown a 10%-26% rate of cyst rupture in cases of laparotomy and 22%-100% for a laparoscopic incision.…”
Background: Articles on giant ovarian cysts have become less common in medical literature. These cysts mimic ascites, presenting with abdominal distension and shifting dullness. They are predominantly serous and mucinous cystadenomas. Rare cases of low-grade of malignant tumors and adenocarcinomatous ovarian cysts have been reported. Materials and Methods: This was a retrospective descriptive study of 5 cases recruited between 2009 and 2012. The selected patients had large ovarian cysts extending to the epigastric region. Solid, mixed, or predominantly solid ovarian cysts were excluded from the study. Results: The mean age of the patients was 28, with extremes of ages 22 and 39. Ascites was detected clinically with transabdominal fluid thrills in all cases. Cysts were unilocular in 4 cases and multilocular in 1 case. Oophorectomy and salpingectomy were performed without preoperative drainage. Histology testing showed serous cystadenoma in 4 cases and mucinous low-grade adenocarcinoma in 1 case. The average follow-up time was 54 months. No recurrences were observed. Conclusions: Imaging (ultrasound, computed tomography, and/or magnetic resonance imaging) is paramount for planning management of giant ovarian cysts as imaging facilitates the distinction between ascites and pseudoascites as well as the identification of any suspicious features of malignancy (multiple partitions, and endo-or exocystic vegetations). Complete excision without opening the cyst is the procedure of choice. ( J GYNECOL SURG 32:162)
“…14 Since then, Abe et al identified 22 cases of ovarian tumors reported in the literature measuring between 47 kg and 134 kg. 11 The cysts were benign in 72.7% of cases and borderline or malignant in 27.2% of cases. 11,15 In a literature review, Einenkel et al found an overall malignancy rate of 37% in giant ovarian cysts.…”
Section: Discussionmentioning
confidence: 94%
“…11 The cysts were benign in 72.7% of cases and borderline or malignant in 27.2% of cases. 11,15 In a literature review, Einenkel et al found an overall malignancy rate of 37% in giant ovarian cysts. 12 The differential diagnosis can be difficult to establish in the presence of abundant ascites.…”
Section: Discussionmentioning
confidence: 94%
“…These giant ovarian cysts are associated with uncomfortable abdominal distension, heaviness, weight gain, difficulty with walking, discomfort when recumbent, dyspnea or orthopnea, and tachycardia. 11,12 Giant cysts, as reported in the literature, might compress the inferior vena cava causing lower-limb edema, compression of the diaphragm with risks of atelectasis, pulmonary edema, and more seriously, abdominal compartment syndrome. 1,11,13 In 1905 Spohn reported a 328 pound ovarian tumor.…”
Section: Discussionmentioning
confidence: 99%
“…11,12 Giant cysts, as reported in the literature, might compress the inferior vena cava causing lower-limb edema, compression of the diaphragm with risks of atelectasis, pulmonary edema, and more seriously, abdominal compartment syndrome. 1,11,13 In 1905 Spohn reported a 328 pound ovarian tumor. 14 Since then, Abe et al identified 22 cases of ovarian tumors reported in the literature measuring between 47 kg and 134 kg.…”
Section: Discussionmentioning
confidence: 99%
“…However, it must be performed gradually, with the aim of avoiding long drainage tubes that carry risks of infection, peritonitis, and sudden massive bleeding. 11 The major drawback of drainage however, is the potential dissemination into the peritoneal cavity of a peritoneal carcinoma or gelatinous disease of the peritoneum caused by rupture of a mucinous cyst. 12 Several studies have shown a 10%-26% rate of cyst rupture in cases of laparotomy and 22%-100% for a laparoscopic incision.…”
Background: Articles on giant ovarian cysts have become less common in medical literature. These cysts mimic ascites, presenting with abdominal distension and shifting dullness. They are predominantly serous and mucinous cystadenomas. Rare cases of low-grade of malignant tumors and adenocarcinomatous ovarian cysts have been reported. Materials and Methods: This was a retrospective descriptive study of 5 cases recruited between 2009 and 2012. The selected patients had large ovarian cysts extending to the epigastric region. Solid, mixed, or predominantly solid ovarian cysts were excluded from the study. Results: The mean age of the patients was 28, with extremes of ages 22 and 39. Ascites was detected clinically with transabdominal fluid thrills in all cases. Cysts were unilocular in 4 cases and multilocular in 1 case. Oophorectomy and salpingectomy were performed without preoperative drainage. Histology testing showed serous cystadenoma in 4 cases and mucinous low-grade adenocarcinoma in 1 case. The average follow-up time was 54 months. No recurrences were observed. Conclusions: Imaging (ultrasound, computed tomography, and/or magnetic resonance imaging) is paramount for planning management of giant ovarian cysts as imaging facilitates the distinction between ascites and pseudoascites as well as the identification of any suspicious features of malignancy (multiple partitions, and endo-or exocystic vegetations). Complete excision without opening the cyst is the procedure of choice. ( J GYNECOL SURG 32:162)
A 26-year-old, otherwise healthy female presented to the Emergency Room for the evaluation of abdominal pain. It was immediately apparent that she had a massively distended abdomen. History revealed progressive abdominal distension over several years. Evaluation for pregnancy was negative and a computed tomography (CT) scan demonstrated a 38 × 32 × 23 cm septated cystic mass. Careful controlled partial needle decompression of the cyst, removing 18.5 l of fluid, was followed by a mini-laparotomy with complete removal of a multi-loculated cystic ovarian mass approximately 45 lb in weight. Pathology was consistent with mucinous cystadenoma of the ovary in association with a mature cystic teratoma. This surgical technique of percutaneous drainage of the cyst, followed by mini-laparotomy is a valuable example of a safe and effective minimally invasive treatment modality for giant ovarian mucinous cystadenomas.
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