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Benign Ovarian Edema Masquerading as Malignancy: A Case Report

  • Shalini Singh
  • Kameswari SurampudiEmail author
  • Meenakshi Swain
Case Report
  • 11 Downloads

Introduction

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. The mass is of variable size resulting from accumulation of fluid within ovarian stroma. It poses a stiff clinical challenge to practitioners as it can masquerade any ovarian malignancy [2]. There is no pathognomonic or diagnostic feature differentiating it from other solid ovarian masses clinically or by imaging. Hence, the specific diagnosis is only made on histopathology.

Case Report

A 15 year old girl came to our gynaec outpatient clinic with complaints of dysmenorrhoea and abnormal uterine bleeding since her menarche at age 13. She had prolonged cycles with heavy bleeding spanning 10–15 days. Periods occurred once in 6 months. Transabdominal pelvic ultrasonography elsewhere showed bilateral bulky ovaries with small immature follicles and foci of calcifications suggestive of endometriosis.

She was asthenic with a...

Notes

Compliance with Ethical Standards

Conflict of interest

The authors declare that there is no conflict of interest.

Ethical Statement

Informed consent was taken from parents for publication of the case along with figures.

References

  1. 1.
    Harke AB, Sigamani K, Thukkaram C, et al. Massive ovarian oedema: a case report. J Clin Diagn Res. 2016;10(8):ED03–4.Google Scholar
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    Varma A, Chakrabarty P, Gupta G. Massive ovarian edema: a case report presenting as diagnostic dilemma. J Family Med Prim Care. 2016;5(1):172–4.CrossRefGoogle Scholar
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    Praveen R, Pallavi V, Rajashekar K, et al. A clinical update on massive ovarian oedema: a pseudotumour? Ecancermedicalscience. 2013;7:318.  https://doi.org/10.3332/ecancer.2013.318.Google Scholar
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    Umesaki N, Tanaka T, Miyama M, et al. Successful preoperative diagnosis of massive ovarian edema aided by comparative imaging study using magnetic resonance and ultrasound. Eur J Obstet Gynecol Reprod Biol. 2000;89(1):97–9.CrossRefGoogle Scholar

Copyright information

© Federation of Obstetric & Gynecological Societies of India 2017

Authors and Affiliations

  1. 1.Department of GynaecologyFernandez HospitalHyderabadIndia
  2. 2.Department of PathologyApollo HospitalHyderabadIndia

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