Harke Arun B, Sigamani Karthik, Thukkaram Chitra, Ramamurthy Madhumittha, Sekar Manjani
Professor, Department of Pathology, Karpaga Vinayaga Institute of Medical Sciences and Research Centre , Kanchipuram, Tamilnadu, India .
Assistant Professor, Department of Pathology, Karpaga Vinayaga Institute of Medical Sciences and Research Centre , Kanchipuram, Tamilnadu, India .
J Clin Diagn Res. 2016 Aug;10(8):ED03-4. doi: 10.7860/JCDR/2016/19419.8313. Epub 2016 Aug 1.
Massive ovarian oedema is defined by WHO as formation of tumour like enlargement of one or both ovaries by oedema fluid. We report a case of a 18-year-old unmarried girl who presented with three months amenorrhoea and left sided lower abdominal pain with clinical and radiological diagnosis of cystic ovarian neoplasm. Patient underwent lapratomy with left salpingo-oophorectomy. A definitive diagnosis of Massive Ovarian Oedema (MOE) was offered on histopathological examination. The MOE should be differentiated from ovarian fibromatosis, ovarian fibroma, sclerosing stromal tumour and ovarian myxoma. The usual management of massive oedema of ovary is unilateral salpingo-oophorectomy, as the lesion is mistaken for primary ovarian neoplasm at laparotomy. Recognition of MOE is of great importance to prevent unnecessary oophorectomy in young patients and can be managed conservatively. We report this case of MOE for its rarity.
世界卫生组织将巨大卵巢水肿定义为由于水肿液导致一侧或双侧卵巢呈肿瘤样增大。我们报告一例18岁未婚女孩，她出现三个月闭经及左侧下腹部疼痛，临床及影像学诊断为囊性卵巢肿瘤。患者接受了剖腹手术及左侧输卵管卵巢切除术。组织病理学检查确诊为巨大卵巢水肿（MOE）。巨大卵巢水肿应与卵巢纤维瘤病、卵巢纤维瘤、硬化性间质瘤及卵巢黏液瘤相鉴别。卵巢巨大水肿的通常治疗方法是单侧输卵管卵巢切除术，因为在剖腹手术时该病变易被误诊为原发性卵巢肿瘤。认识巨大卵巢水肿对于防止年轻患者不必要的卵巢切除术非常重要，且可以进行保守治疗。我们报告此例巨大卵巢水肿病例是因其罕见性。
