Laparoscopic treatment of giant ovarian cystic tumors in children: Case report.

RATIONALE

Ovarian cystic tumors are common in adult women. However, cases of ovarian cystic tumors approximately 30 cm in diameter are rarely reported in adult women and even rarer in children. Here, we report a rare case of a giant ovarian cystic tumor in a 13-year-old girl.

PATIENT CONCERNS

A 13-year-old girl was admitted to hospital with abdominal pain and distension for 7 days. The parents felt anxious about the child's abdominal lesions and requested laparoscopic surgery.

DIAGNOSES

After evaluation at our hospital, abdominal color ultrasound and enhanced computer tomography revealed a large sac-like fluid density shadow with clear edges in the abdomen, approximately 38 cm × 35 cm × 24 cm in size. We performed a laparoscopic resection of the cystic ovarian tumor, which was pathologically confirmed as a benign ovarian tumor.

INTERVENTIONS

Subsequently, laparoscopic exploration revealed a huge cystic tumor originated from the right ovary with a clear boundary between the tumor and the right ovary.

OUTCOMES

Laparoscopic surgery was used to remove the lesion, and the postoperative recovery and follow-up were uneventful.

LESSONS

Cases of ovarian cystic tumors with a diameter of approximately 30 cm are very rare in pediatric patients. Laparoscopic surgery is an essential method for the diagnosis and treatment of giant ovarian cystic tumors and can be used as a first-line treatment.