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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 12, Issue 2, September 2014 pp 69-72

Case Report

Massive ovarian edema: A case report

K. P. Rashmi¹, M. N. Jadhav², S. K. Kittur³

^1,2Associate Professor, ³Professor and Head, Department of Pathology, Belgaum Institute of medical sciences, Belgaum-590001, Karnataka, INDIA.

Abstract

Massive ovarian edema is a rare tumor like entity described as accumulation of edema fluid within the ovarian stroma, separating normal follicular structures. Our case was a 14 year young patient who presented with a large abdominal mass associated with pain. Ultrasound of abdomen revealed cystic enlargement of right ovary and clinical diagnosis of dermoid cyst was made. Exploratory laparotomy showed torsion of right ovarian mass, edematous fallopian tube, for which salpingo-ovariotomy was done. Histopathology was consistent with features of massive edema of right ovary. This entity though rare poses a significant clinical challenge as it can be easily mistaken for neoplasm and should be considered in young patients with solid enlargement of ovary to avoid aggressive treatment.