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Case Reports
. 2016 Aug;10(8):ED03-4.
doi: 10.7860/JCDR/2016/19419.8313. Epub 2016 Aug 1.

Massive Ovarian Oedema- A Case Report

Arun B Harke  1 , Karthik Sigamani  2 , Chitra Thukkaram  3 , Madhumittha Ramamurthy  4 , Manjani Sekar  4
Affiliations
Case Reports

Massive Ovarian Oedema- A Case Report

Arun B Harke et al. J Clin Diagn Res. 2016 Aug.

Abstract

Massive ovarian oedema is defined by WHO as formation of tumour like enlargement of one or both ovaries by oedema fluid. We report a case of a 18-year-old unmarried girl who presented with three months amenorrhoea and left sided lower abdominal pain with clinical and radiological diagnosis of cystic ovarian neoplasm. Patient underwent lapratomy with left salpingo-oophorectomy. A definitive diagnosis of Massive Ovarian Oedema (MOE) was offered on histopathological examination. The MOE should be differentiated from ovarian fibromatosis, ovarian fibroma, sclerosing stromal tumour and ovarian myxoma. The usual management of massive oedema of ovary is unilateral salpingo-oophorectomy, as the lesion is mistaken for primary ovarian neoplasm at laparotomy. Recognition of MOE is of great importance to prevent unnecessary oophorectomy in young patients and can be managed conservatively. We report this case of MOE for its rarity.

Keywords: Cystic ovarian neoplasm; Ovarian myxoma; Salpingo-oophorectomy.

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Figures

[Table/Fig-1]:
[Table/Fig-1]:
The external surface of the ovary was shiny, white and smooth.
[Table/Fig-2]:
[Table/Fig-2]:
Cut section: Pale, homogenous, soft with multiple cystic areas.
[Table/Fig-3]:
[Table/Fig-3]:
Shows marked diffuse stromal oedema with entrapped follicles (H&E, 10x).
[Table/Fig-4]:
[Table/Fig-4]:
The periphery of the cortex shows normal ovarian stroma (H&E, 10x).
[Table/Fig-5]:
[Table/Fig-5]:
Shows dilated vascular and lymphatic channels (H&E, 10x).
See this image and copyright information in PMC

References

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