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 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 The prevalence & age distribution of ovarian cysts

2016 ◽  
Vol 11 (4) ◽  
Author(s):  
Zohra Khanum ◽  
Amanur Rehman
Keyword(s):  
Prospective Study ◽  
Ovarian Cyst ◽  
Age Distribution ◽  
Serous Cystadenoma ◽  
Ovarian Cysts ◽  
A Prospective Study ◽  
Histopathological Type ◽  
Determining Factor

A prospective study conducted at Lady Willingdon Hospital LHR over two years for prevalence & age distribution of ovarian cyst. According to study 85% ovarian cyst were benign, 13 % cyst were malignant while 2% were borderline malignant. The commonest histopathological type was serous cystadenoma. Only age was not the determining factor for the type of the ovarian cyst.

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 Twisted ovarian cyst in pregnancy: a case report

2018 ◽  
Vol 7 (8) ◽  
pp. 3389
Author(s):  
Amina Kuraishy ◽  
Nasreen Noor ◽  
Zehra Mohsin
Keyword(s):  
Abdominal Pain ◽  
Ovarian Cyst ◽  
Surgical Intervention ◽  
Significant Risk ◽  
Serous Cystadenoma ◽  
Ovarian Cysts ◽  
Healthy Male ◽  
Pregnancy Risk ◽  
Male Baby ◽  
In Pregnancy

Ovarian cysts are frequently encountered during pregnancy due to the use of routine prenatal ultrasound. Most of them are benign but in some cases, complications can occur such as torsion, rupture and malignant change. In pregnancy risk of torsion increases 5-fold. It carries significant risk to a pregnant woman and her intrauterine foetus. Here we are reporting a 30-year-old female G3 P1+1L2 with 15 weeks of gestation who presented to antenatal OPD with complain of dull aching abdominal pain for 1 month and nausea and vomiting for 5 days. On ultrasound bilateral ovarian cysts were found, with one of the cyst with multiple septations. She underwent laparotomy, a right sided twisted ovarian cyst was found for which salpingoophrectomy was done. Left sided cyst was simple where cystectomy was done. Her histopathology report showed a bilateral benign serous cystadenoma. Her pregnancy was followed up. She delivered a healthy male baby at term. Ovarian cyst diagnosed in pregnancy can be followed up with serial ultrasound but if associated with complication such as torsion then urgent surgical intervention has to be done.

scholarly journals Rare case of torsion of giant ovarian mass post-colonoscopy

2021 ◽  
Vol 2021 (3) ◽  
Author(s):  
Irene A T Ng ◽  
Jolene S M Wong ◽  
Jermaine Wong ◽  
Claramae S Chia ◽  
Chin-Ann J Ong
Keyword(s):  
Abdominal Pain ◽  
Ovarian Cyst ◽  
Frozen Section ◽  
Lower Abdominal Pain ◽  
Exploratory Laparotomy ◽  
Serous Cystadenoma ◽  
Ovarian Torsion ◽  
Ovarian Mass ◽  
Large Ovarian Cyst ◽  
The Right

ABSTRACT We present an unprecedented case of torsion of a large ovarian cyst following colonoscopy. A 43-year-old female was found to have a 20 × 13 × 19 cm pelviabdominal mass possibly arising from the right ovary. Endoscopic evaluation was performed prior to planned resection of the ovarian mass. The patient experienced progressive lower abdominal pain after the procedure with a computed topography finding of torsion. She underwent exploratory laparotomy, right salpingo-oophorectomy with intra-operative frozen section and omentectomy. Final histology revealed features of benign serous cystadenoma with extensive haemorrhagic infarction in keeping with torsion. To our knowledge, this is the first reported case of torsion of a large ovarian cyst after colonoscopy. We propose a postulated mechanism of this patient’s ovarian torsion and urge clinicians to be cognizant of acute ovarian torsion as a cause of severe abdominal pain following endoscopy.

scholarly journals Management of Complex Ovarian Cysts in Newborns – Our Experience

2016 ◽  
Vol 6 (1) ◽  
pp. 3
Author(s):  
Manjiri S ◽  
Padmalatha SK ◽  
Shetty J
Keyword(s):  
Ovarian Cyst ◽  
Spontaneous Regression ◽  
Clinical Presentation ◽  
Ovarian Tissue ◽  
Serous Cystadenoma ◽  
Ovarian Cysts ◽  
Radiological Findings ◽  
Operative Recovery ◽  
Serous Cyst

Aims: To analyse the clinical presentation, clinicopathological correlation and management of complex ovarian cysts in newborn and infants.Materials and Methods: Over a period of 6 years (2009-2015), 25 newborns who were diagnosed to have ovarian cyst on antenatal ultrasound, were followed up. We collected data in the form of clinical features, radiological findings, pathology and mode of treatment.Results: Of the 25 fetuses who were diagnosed to have ovarian cysts, fourteen (56%) underwent spontaneous regression by 6-8 months. Eight were operated in newborn period while 3 were operated in early infancy. Seven had ovarian cyst on right side, 4 had on left side. Eight babies underwent laparoscopy while 3 underwent laparotomy. Histopathology showed varied features of hemorrhagic cyst with necrosis and calcification, serous cystadenoma with hemorrhage, benign serous cyst with hemorrhage and simple serous cyst. Post-operative recovery was uneventful in all.Conclusion: All the ovarian cysts detected antenatally in female fetuses need close follow-up after birth. Since spontaneous regression is known, only complex or larger cysts need surgical intervention, preferably by laparoscopy. Majority of the complex cysts show atrophic ovarian tissue hence end up in oophorectomy but simple cysts can be removed preserving normal ovarian tissue whenever possible.

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 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.

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