Maharajgunj Medical Campus, Maharajgunj, Kathmandu, Nepal.
Department of Obstetrics and Gynecology, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.
J Med Case Rep. 2020 Jul 12;14(1):97. doi: 10.1186/s13256-020-02418-5.
Ovarian edema, ovarian leiomyoma, and double inferior vena cava are all rare clinical entities. The coexistence of all these entities has not been yet reported in the literature.
We report a case of a 25-year-old nulliparous tamang woman with all these rare clinical entities, who presented with a complaint of right-sided lower abdominal pain. After examination and investigation, an ovarian tumor was suspected and laparotomy was performed during which bilateral ovarian edema with a solid tumor on the left side was identified and left salpingo-oophorectomy was done preserving her right ovary. A histopathological examination confirmed the clinical findings.
As ovarian edema is a rare entity, due to lack of clinical suspicion it is often overdiagnosed as a malignant tumor leading to radical surgery with subsequent loss of hormonal function and early infertility. A high degree of clinical suspicion during the intraoperative period is helpful for diagnosis to avoid unnecessary oophorectomy and infertility.
卵巢水肿、卵巢平滑肌瘤和双下腔静脉都是罕见的临床实体。这些实体同时存在的情况尚未在文献中报道过。
我们报告了一例 25 岁的塔芒未婚女性，患有所有这些罕见的临床实体，她主诉右侧下腹部疼痛。经过检查和调查，怀疑是卵巢肿瘤，并进行了剖腹手术，术中发现双侧卵巢水肿，左侧有一个实性肿瘤，行左侧输卵管卵巢切除术，保留右侧卵巢。组织病理学检查证实了临床发现。
由于卵巢水肿是一种罕见的疾病，由于缺乏临床怀疑，它经常被误诊为恶性肿瘤，导致激进的手术，随后失去激素功能和早期不孕。在手术期间高度怀疑临床情况有助于诊断，以避免不必要的卵巢切除术和不孕。
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