Benign Ovarian Edema Masquerading as Malignancy: A Case Report
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Benign massive ovarian edema (MOE) is a rare clinical finding described in anecdotal case reports . 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 . 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.
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.
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Conflict of interest
The authors declare that there is no conflict of interest.
Informed consent was taken from parents for publication of the case along with figures.
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