scholarly journals A clinical study of large ovarian cyst with various presentations: prospective interventional study

2017 ◽  
Vol 7 (1) ◽  
pp. 239
Author(s):  
Yellapragada Lakshmi Nalini ◽  
Deepak Sharma ◽  
A. Sarath Chandra ◽  
B. S. Lakshmi Deepshika
Keyword(s):  
Ovarian Cyst ◽  
Ovarian Cysts ◽  
Age Group ◽  
Interventional Study ◽  
Clinical Challenge ◽  
Large Ovarian Cyst ◽  
Cyst Infection ◽  
Definition Of ◽  
Study Participants ◽  
Good Number

Background: The definition of huge ovarian cysts is not well described in the literature. Some authors define large ovarian cysts as those that are more than 10 cm in diameter as measured by preoperative scans. An ovarian cyst is a common gynecological problem and is divided into two main categories; physiological and pathological. Aims and objectives of this study was to find out various presentations of large ovarian tumour.Methods: It was a prospective interventional study done for a period of two year from March 2015 to March 2017 in Department of Obstetrics and Gynecology as well as in Department of General Surgery. During the study period a total of 30 study participants were enrolled.Results: Majority of the study participants were in the age group of 18-28 years (66.66%) and 33.33% were in the age group of 28-38 years. Near about 33.33% were uncomplicated. Near about 33.33% presented with tortion, 7% with rupture of cyst, infection was seen in 13.33%. About 13.33% were malignant cyst.Conclusions: Large ovarian cysts are a clinical challenge for Gynaecologists. Quite a good number of these cases can end up with complications and hence, all of them have to be subjected to surgery.

scholarly journals Laparoscopic management of large ovarian cysts

2017 ◽  
Vol 6 (5) ◽  
pp. 1999
Author(s):  
Beeresh C. S. ◽  
Divyasree Doopadapalli ◽  
Vimala K. V. ◽  
Krishna Lingegowda
Keyword(s):  
Ovarian Cyst ◽  
Operating Time ◽  
Serum Marker ◽  
Ovarian Cysts ◽  
Preliminary Evaluation ◽  
Laparoscopic Management ◽  
Proper Patient Selection ◽  
Benign Pathology ◽  
Large Ovarian Cyst ◽  
Borderline Malignancy

Background: Large ovarian cysts are conventionally managed by laparotomy. This study was undertaken to assess the feasibility and outcome of laparoscopic surgery for the management of large ovarian cysts.Methods: Thirty-eight patients from January 2014 to December 2016, presumed to be large ovarian cyst were managed laparoscopically. Preliminary evaluation suggestive to be of benign ovarian cyst by history, clinical examination, sonographic imaging and basic serum marker were only included in this study. The cysts were aspirated initially followed by cystectomy, oophorectomy or total hysterectomy depending on age, parity, coexisting pathology and desire for future fertility.Results: Out of 38 cases, 6 were non-ovarian adnexal masses. 8 out of rest 32 cases presented with pain due to torsion were managed on emergency basis, rest of the cases were operated electively. Mean operating time was 90 minutes. Mean size of the cyst was 16 cms. One cases of borderline malignancy were detected and the rest showed benign pathology. Three of the cases required mini Laprotomy for specimen removal. Most of women were successfully treated laparoscopically without any complications and conversion to laparotomy was required in 3 cases.Conclusions: With proper patient selection and exclusion of malignancy, laparoscopic management of large ovarian cyst by general gynecologist is feasible.

scholarly journals Vanishing large ovarian cyst with thyroxine therapy

2013 ◽  
Vol 2013 ◽  
Author(s):  
Pramila Dharmshaktu ◽  
Aditya Kutiyal ◽  
Dinesh Dhanwal
Keyword(s):  
Differential Diagnosis ◽  
Replacement Therapy ◽  
Ovarian Cyst ◽  
Elective Surgery ◽  
Hormone Replacement ◽  
Surgical Excision ◽  
Ovarian Cysts ◽  
List Type ◽  
Thyroxine Therapy ◽  
Large Ovarian Cyst

Summary A 21-year-old female patient recently diagnosed with severe hypothyroidism was found to have a large ovarian cyst. In view of the large ovarian cyst, she was advised to undergo elective laparotomy in the gynaecology department. She was further evaluated in our medical out-patient department (OPD), and elective surgery was withheld. She was started on thyroxine replacement therapy, and within a period of 4 months, the size of the cyst regressed significantly, thereby improving the condition of the patient significantly. This case report highlights the rare and often missed association between hypothyroidism and ovarian cysts. Although very rare, profound hypothyroidism that can cause ovarian cysts in an adult should always be kept in the differential diagnosis to avoid unnecessary ovarian surgery. Learning points Hypothyroidism should be considered in the differential diagnosis of adult females presenting with multicystic ovarian tumours. Adequate thyroid hormone replacement therapy can prevent these patients from undergoing unnecessary and catastrophic ovarian resection. Surgical excision should be considered only when adequate thyroid replacement therapy fails to resolve ovarian enlargement. In younger women with ovarian cysts, it is also desirable to avoid unnecessary surgery so as to not compromise fertility in the future.

scholarly journals Ovarian cyst mimicking acute appendicitis in pregnancy: A case report

2021 ◽  
Vol 8 (3) ◽  
pp. 431-433
Author(s):  
Vijay Verma ◽  
Supriya ◽  
Ravi Verma
Keyword(s):  
Acute Appendicitis ◽  
Ovarian Cyst ◽  
Surgical Intervention ◽  
Ovarian Cysts ◽  
Adnexal Masses ◽  
Emergency Intervention ◽  
Large Ovarian Cyst ◽  
Asymptomatic Women ◽  
Ovarian Masses ◽  
In Pregnancy

Ovarian cysts, also known as ovarian masses or adnexal masses are fluid filled sacs or pockets in an ovary or on its surface. These are found incidentally in asymptomatic women. Ovarian cysts are considered large in size when they are over 5 cm and giant when they are over 15 cm. Acute appendicitis is the most common surgical problem encountered during pregnancy. Pregnancy is associated with various anatomic and physiologic changes that may disguise and delay the diagnosis of acute appendicitis. Antibiotic treatment does not always improve the outcome and emergency intervention is required. Early diagnosis and surgical intervention is mandatory for the eventful outcome of pregnancy. Here we present a case of a primigravida patient with a large ovarian cyst mimicking acute appendicitis.

scholarly journals Ovarian Cysts Management Following Laparoscopic Surgery

2021 ◽  
pp. 488-492
Author(s):  
Jabeen Atta ◽  
Zubair Ahmad Yousfani ◽  
Khenpal Das ◽  
Tahseen Maryam ◽  
Ghulamullah Rind ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Ovarian Cyst ◽  
Frozen Section ◽  
Ovarian Cysts ◽  
Cystic Fluid ◽  
Abdominal Approach ◽  
Nasogastric Tubes ◽  
Large Ovarian Cyst ◽  
Surgery Department ◽  
Endotracheal Anesthesia

Objective: To analyze diagnostic and surgical outcomes in patients with extremely large ovarian cysts treated by laparoscopic surgery. Methods: A total of 120 cases of large adnexal masses and suspected for malignancy were treated laparoscopically at the at general surgery department of Liaquat University of Medical & Health Sciences. Under endotracheal anesthesia, all surgeries were performed using nasogastric tubes in the stomach. An incision of approximately 1.5 centimeter was made at the supraumbilical or umbilical region and peritoneal cavity was approached. The intra-abdominal approach in all cases was cautiously standardized. The resection of the adnexal mass was performed as per routine method. Results: 12 females were premenopausal and 8 were postmenopausal. 12 women presented with the signs of urinary retention, urinary urgency and abdominal pain. Incidental sonography detected cysts in 8 patients which were asymptomatic. The average volume of the resected cystic fluid was 3000ml (range 900 to 9000 ml). The specimens of frozen section were obtained within the surgical procedure in all patients except 2 patients having para-ovarian cysts. The histopathology presented mucinous benign cystadenoma. There was no blood loss and related other complications reported in all operations. Conclusion: Laparoscopic management of large ovarian cyst observed to a effective, feasible and less complicated surgical option. However accurate selection and diagnosis of the patients, the any ovarian cyst size can be treated easily via laparoscopic surgery.

scholarly journals Chronic constipation: An unusual presentation of a Giant Serous Cystadenoma of ovary

2013 ◽  
Vol 12 (1) ◽  
pp. 108-109
Author(s):  
Sabina Khan ◽  
Mohammad Jaseem Hassan ◽  
Musharraf Hussain ◽  
Sujata Jetley
Keyword(s):  
Ovarian Cyst ◽  
Chronic Constipation ◽  
Medical Science ◽  
Serous Cystadenoma ◽  
Unusual Presentation ◽  
Mesenteric Cyst ◽  
Ovarian Cysts ◽  
Large Size ◽  
Large Ovarian Cyst ◽  
Missed Diagnosis

Benign ovarian cysts are fairly common. However, some of them may attain a large size and may prove to be malignant also. Here we report a case of 48 years old female presenting with chronic constipation due to a large ovarian cyst which was misdiagnosed on CT as mesenteric cyst. This case is being reported because of its large size, unusual presentation and missed diagnosis. DOI: http://dx.doi.org/10.3329/bjms.v12i1.11540 Bangladesh Journal of Medical Science Vol. 12 No. 01 January’13 pp.108-109

scholarly journals Laparoscopic Management of Large Ovarian Cysts

2017 ◽  
Vol 1 (1) ◽  
pp. 18-21
Author(s):  
Divyasree Doopadapalli ◽  
CS Beeresh ◽  
KR Vimala ◽  
Krishna lingegowda
Keyword(s):  
Ovarian Cyst ◽  
Operating Time ◽  
Serum Marker ◽  
Ovarian Cysts ◽  
Preliminary Evaluation ◽  
Laparoscopic Management ◽  
Proper Patient Selection ◽  
Large Ovarian Cyst ◽  
Future Fertility ◽  
Borderline Malignancy

ABSTRACT Introduction Large ovarian cysts are conventionally managed by laparotomy. This study was undertaken to assess the feasibility and outcome of laparoscopic surgery for the management of large ovarian cysts. Settings and design Rural teaching hospital – prospective study. Materials and methods Thirty-eight patients from January 2014 to December 2016 presumed to be with large ovarian cyst were managed laparoscopically. Preliminary evaluation suggestive to be of benign ovarian cyst by history, clinical examination, sonographic imaging, and basic serum marker were only included in this study. The cysts were aspirated initially, followed by cystectomy, oophorectomy, or total hysterectomy depending on age, parity, coexisting pathology, and desire for future fertility. Results Out of 38 cases, 6 were nonovarian adnexal masses. Eight of the 32 cases who presented with pain due to torsion were managed on emergency basis; rest of the cases were operated electively. Mean operating time was 90 minutes. Mean size of the cyst was 16 cm. One case of borderline malignancy was detected and the rest showed benign pathology. Six of the cases required minilaparotomy for specimen removal. Most women were successfully treated laparoscopically without any complications, and conversion to laparotomy was required in three cases. Conclusion With proper patient selection and exclusion of malignancy, laparoscopic management of large ovarian cyst by gynecologist is feasible. How to cite this article Beeresh CS, Doopadapalli D, Vimala KR, Lingegowda K. Laparoscopic Management of Large Ovarian Cysts. Int J Gynecol Endsc 2017;1(1):18-21.

scholarly journals Survey of females at school age group between 10-15 years old to study the prevalence of ovarian cysts among them using pelvic ultrasound

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
A M Abdelhameed ◽  
N H Khater ◽  
S A Ahmed
Keyword(s):  
Ovarian Cyst ◽  
Imaging Modality ◽  
Great Majority ◽  
Mean Value ◽  
Adolescent Females ◽  
Ovarian Cysts ◽  
School Age ◽  
Cystic Lesions ◽  
Age Group ◽  
The Mean

Abstract Background Ovarian cyst is a common gynecological problem.The great majority of ovarian cysts are asymptomatic functional (physiological) cysts with simple appearance and small size. Ultrasonography (US) is the imaging modality of choice in the evaluation of cystic ovarian lesions in adolescent females. Aim of the Work To document ovarian cyst frequency and characteristics in females at school age group between 10-15 years old to study the prevalence and characteristics of ovarian cysts among them. Patient and Methods Our study was done on 52 girls aged between 10-15 years old presented and referred to our Radio-diagnosis department at Mataria teaching hospital from different outpatient clinics for pelvic US examination in a period of six months from May 2018 to November 2018. Results In our study the mean age 12.87±1.79, while age of start of menstruation (menarche) ranged from 10-14 with mean value 11.94±0.88. Regarding their menstrual pattern, girls with regular menstruation were (65.6 %) while those with irregular menstruation were (34.4%). Ovarian cystic lesions were founded in 9 girls (17.3%) while 43girls (82.7%) have normal ovaries. Simple ovarian cyst was the most frequent lesion which was seen in 8 girls(15.4%) followed by hemorrhagic cyst in one girl (1.9%). Conclusion Cystic lesions of the ovary are a common gynecological finding. They are very common and mostly benign during adolescence. Many ovarian cysts are asymptomatic and found incidentally on routine pelvic examination.

scholarly journals Benign Ovarian Cysts with Raised CA-125 Levels: Do We Need to Evaluate the Fallopian Tubes?

2020 ◽  
Vol 12 (04) ◽  
pp. 276-280
Author(s):  
Devesh Sharma ◽  
Anjali Vinocha
Keyword(s):  
Ovarian Cancer ◽  
Ovarian Cyst ◽  
Transvaginal Ultrasound ◽  
Premenopausal Women ◽  
Carbohydrate Antigen ◽  
Ca 125 ◽  
Ovarian Cysts ◽  
Fallopian Tubes ◽  
Case Record ◽  
Carbohydrate Antigen 125

Abstract Objectives It is not clearly known whether some benign (simple) ovarian cysts can convert into cancerous cysts. Size of cyst and wall abnormalities do predict the potentiality of malignancy. Not many studies have been done to explore the malignant potential of large-sized (> 5 cm) unilocular ovarian cysts without wall abnormalities. This study evaluated the correlation between ultrasonographic size of benign ovarian cysts and carbohydrate antigen 125 (CA-125) levels. Methodology Sixty (60) premenopausal women were recruited for the study preoperatively, based on transvaginal ultrasound (TVUS) findings present in the case record sheet received along with the CA-125 sample in the biochemistry laboratories. Those cases with elevated CA-125 levels were selected, where patients had unilocular ovarian cysts without wall abnormalities. CA-125 was done using ECLIA methodology (Cobas e411, Germany). Statistical correlation was calculated between the ovarian cyst size and CA-125 levels using Spearman’s Rho coefficient. Results Mean age group of subjects were 29.7 ± 7.3 years and mean value of CA-125 (normal < 35 IU/mL) was found to be increased: 118.0 ± 147.1 IU/mL so was the mean diameter of cysts (cut off ≤ 5 cm): 48.6 ± 59.8 cm. No correlation was found between CA-125 levels and volume of ovarian cyst (r = 0.005, p = 0.680) for all subjects. Conclusions The lack of correlation between size of ovarian cysts and CA-125 levels provides a hint that the ovarian cyst epithelium does not directly express CA-125 and it may come from sites like the fallopian tube. Thus, raised level of CA-125 in benign ovarian cyst should be followed-up more closely, demanding assessment of fallopian tubes for early diagnosis of ovarian cancer. Also, algorithms can be explored to include size of ovarian cyst and CA 125 levels to predict ovarian cancer.

scholarly journals Reducing Loneliness: The Impact of Mindfulness, Social Cognitions, and Coping

2021 ◽  
pp. 003329412199777
Author(s):  
Robin Besse ◽  
Whitney K. Whitaker ◽  
Laura A. Brannon
Keyword(s):  
Young Adults ◽  
Social Cognitions ◽  
Age Group ◽  
Coping Behaviors ◽  
Current Health ◽  
Current State ◽  
And Coping ◽  
Study Participants ◽  
The Impact ◽  
At Home

While many facets of loneliness have been explored, research examining the efficacy of loneliness interventions has been overlooked among young adults. The study of loneliness among young adults has become increasingly important considering the current state of isolation and stay-at-home orders issued to prevent the spread of COVID-19. Preliminary reports suggest an increase in loneliness as a result of the current health pandemic, especially among young adults, who have reported feeling lonelier than any other age group. Such findings warrant the study of ways to help reduce loneliness among young adults. The current study examined the efficacy of strategies that might be used to help young adults manage feelings of loneliness. Two hundred and seventy-eight young adults completed the study. Participants read one of four messages: mindfulness, social cognitions, coping behaviors, or a control. Participants in the mindfulness condition felt better equipped to manage future instances of loneliness and held better attitudes toward this intervention. The current research helps to advance understanding of effective ways of helping young adults cope with loneliness.

Early Detection of Wilms' Tumor in a Child with Hemihypertnophy and Ovarian Cysts

PEDIATRICS ◽  
1982 ◽  
Vol 70 (1) ◽  
pp. 135-136
Author(s):  
Deborah Tolchin ◽  
Mordecai Koenigsberg ◽  
Maria Santorineou
Keyword(s):  
Case Report ◽  
Early Detection ◽  
Ovarian Cyst ◽  
Wilms Tumor ◽  
Present Report ◽  
Ovarian Cysts ◽  
Term Pregnancy ◽  
Intravenous Pyelogram ◽  
Routine Examination ◽  
Bilateral Wilms Tumor

There have been many reports of the association between hemihypertrophy and intraabdominal masses, including Wilms' tumor, hepatoma, and adrenal cortical neoplasias.1 The present report describes a patient with segmental hemihypertrophy, multiple ovarian cysts, and bilateral Wilms' tumor and suggests a screening regimen for patients with hemihypertrophy. CASE REPORT The patient was a 9 lb 14 oz product of a term pregnancy, who was well until a mass filling the entire right side of the abdomen was discovered on routine examination at 4 months of age. Intravenous pyelogram (IVP) confirmed a large prerenal mass which on ultrasound was felt to be an ovarian cyst.

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