Fatema Nishat, Mubarak Al Badi Muna
Department of Gynaecology & Obstetric, Ibri Regional Hospital, Ministry of Health, Ibri, Oman.
Case Rep Obstet Gynecol. 2018 Apr 4;2018:5478328. doi: 10.1155/2018/5478328. eCollection 2018.
Giant (>10 cm) ovarian cyst is a rare finding. In the literature, a few cases of giant ovarian cysts have been mentioned sporadically, especially in elderly patients. We report a 57-year-old postmenopausal woman with a giant left ovarian cyst measuring 43 × 15 × 9 cm. She was referred to us from the local health center in view of palpable pelvic mass for six-month period. Considering the age and menopausal state, we performed a total abdominal hysterectomy and bilateral salpingo-oophorectomy with excision of the giant left ovarian cyst intact and successfully without any significant complication. On histopathological examination, the cyst was confirmed as benign serous cystadenoma of the ovary. During the management of these high-risk cases of multidisciplinary approach, intraoperative and postoperative strict vigilance is necessary to avoid unwanted complications.
巨大(>10厘米)卵巢囊肿是一种罕见的发现。在文献中,偶有几例巨大卵巢囊肿的病例被提及,尤其是在老年患者中。我们报告一例57岁绝经后女性,其左侧有一个巨大卵巢囊肿,大小为43×15×9厘米。鉴于可触及盆腔肿块达六个月,她从当地健康中心转诊至我们这里。考虑到患者年龄和绝经状态,我们实施了全腹子宫切除术和双侧输卵管卵巢切除术,完整切除了巨大的左侧卵巢囊肿,手术成功且未出现任何严重并发症。经组织病理学检查,该囊肿被确认为卵巢良性浆液性囊腺瘤。在处理这些多学科方法的高危病例时,术中和术后必须严格警惕,以避免出现意外并发症。