Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal.
Department of Gynecology and Obstetrics, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal.
JNMA J Nepal Med Assoc. 2022 Aug 1;60(252):747-749. doi: 10.31729/jnma.7513.
Ovarian cyst is a fluid-filled sac in the ovary, common among reproductive women. Mucinous cystadenoma is a common variety of non-functional benign lesions that presents vague symptoms and can mislead the diagnosis. A 26-year-old female presented to the clinic with weakness and lethargy, which lasted for 3 months, along with other symptoms like headache, abdominal pain, bloating, nausea, and constipation. She was managed with iron deficiency anaemia, however, her symptoms did not improve. Later, an ultrasound revealed an ovarian cyst. Laparoscopic left-sided ovarian cystectomy was performed and a biopsy was sent for histopathological examination. The case highlights the various nonspecific symptoms in a case of an ovarian cyst. Gynaecological causes for systemic symptoms should always be considered, along with proper gynaecological history and examination. This helps with the accuracy of diagnosis and treatment options, with minimal costs.
case report; ovarian cysts; symptoms.
中文译文：
摘要：卵巢囊肿是卵巢内充满液体的囊，在育龄女性中很常见。粘液性囊腺瘤是一种常见的非功能性良性病变，其症状模糊，可能导致误诊。一名 26 岁女性因乏力和嗜睡 3 个月就诊，伴有头痛、腹痛、腹胀、恶心和便秘等其他症状。她被诊断为缺铁性贫血，但症状并未改善。后来，超声检查发现卵巢囊肿。行腹腔镜左侧卵巢囊肿切除术，并送检活检进行组织病理学检查。本病例强调了卵巢囊肿的各种非特异性症状。对于全身症状，应始终考虑妇科病因，并进行适当的妇科病史和检查。这有助于提高诊断的准确性和治疗选择，并降低成本。
关键词：病例报告；卵巢囊肿；症状。
