- Ovarian cysts are quite common, however, they rarely reach a giant size.
- The cysts may often be confused with mesentery cysts, peritoneal inclusion cysts or loculated acid accumulation.
A 52-year-old female patient presented to the clinic with abdominal distension, firmness and constipation. The patient’s medical history revealed diabetes mellitus and hypertension. She had five pregnancies, three deliveries and two abortions. She had been in a menopausal period for 10 years.
Physical examination of the patient showed a lesion in the left pelvic region with unclear borders. For further evaluation, an ultrasound was performed which showed a cystic lesion measuring 150 mm at the midline. in the pelvic region. CT scan showed a cystic lesion in the abdomen, measuring 17 x 10 x 13 cm filling the left lower quadrant. The CT suggested that the cystic lesion originated from the ovary.
The findings were consistent with the differential diagnoses of an ovarian cyst and mesentery cyst. Laboratory tests revealed no pathologic findings and the patient was prepared for operation under general anaesthesia. The cyst measured 25 cm and was found to be originating from the pelvic region, extending to the midline of the abdomen and crossing the umbilicus.
The cyst originated from the left ovary. Surgical intervention included left salpingo oophorectomy and cystectomy because the ovarian tissue could not be detected and preserved. Histopathological analysis reported mucinous cystadenoma measuring 25 × 17 × 10 cm.
The patient’s recovery period was uneventful.
References
Giant Ovarian Cyst https://medihelp.life/giant-ovarian-cyst/
