Yeika Eugene Vernyuy, Efie Derrick Tembi, Tolefac Paul Nkemtendong, Fomengia Joseph Nkeangu
Saint Elizabeth Catholic General Hospital and Cardiac Centre Shisong, PO Box 08, Kumbo, Cameroon.
Clinical Research Education Networking and Consultancy, Douala, Cameroon.
BMC Res Notes. 2017 Dec 19;10(1):749. doi: 10.1186/s13104-017-3093-8.
Giant ovarian cysts are tumours of the ovary presenting with diameters greater than 10 cm. Giant ovarian cysts have become rare in recent days as they are diagnosed and managed early due to the availability of good imaging modalities. The aim of this case report is to show how a huge cystic ovarian mass can mislead the diagnosis of ascites in a postmenopausal woman. Factors associated with late presentation of giant ovarian cysts in sub-Saharan Africa have also been discussed.
We present the case of a 65-year-old grand multiparous woman who was referred to our centre with a grossly distended abdomen misdiagnosed as a massive ascites. Abdominopelvic ultrasound scan revealed a right giant multiloculated ovarian cyst. She benefited from a cystectomy with an uneventful postoperative stay. Histopathology revealed mucinous cystadenoma.
Large cystic ovarian tumours can present masquerading as massive ascites and misleading diagnosis as in this case report. We report this case to increase the suspicion index of a large ovarian cyst in all women presenting with massive ascites.
巨大卵巢囊肿是直径大于10厘米的卵巢肿瘤。由于有良好的影像学检查手段，如今能早期诊断和治疗，巨大卵巢囊肿已较为罕见。本病例报告的目的是展示一个巨大的卵巢囊性肿物如何在一名绝经后女性中误导腹水的诊断。同时也讨论了撒哈拉以南非洲地区巨大卵巢囊肿出现延迟的相关因素。
我们报告一例65岁、多产的女性，因腹部明显膨隆被误诊为大量腹水而转诊至我们中心。腹盆腔超声扫描显示右侧有一个巨大的多房性卵巢囊肿。她接受了囊肿切除术，术后恢复顺利。组织病理学检查显示为黏液性囊腺瘤。
如本病例报告所示，巨大的卵巢囊性肿瘤可能表现为大量腹水，从而误导诊断。我们报告此病例是为了提高所有出现大量腹水女性中对巨大卵巢囊肿的怀疑指数。
