Adjie Josef Maria Seno, Kurniawan Andrew Pratama
Department of Obstetrics and Gynecology, Cipto Mangunkusumo Hospital, Faculty of Medicine Universitas Indonesia, Jl. Salemba Raya No. 6, Kenari, Kec. Senen, Kota Jakarta Pusat, Daerah Khusus Ibukota, Jakarta 10430, Indonesia.
J Surg Case Rep. 2025 Jul 22;2025(7):rjaf557. doi: 10.1093/jscr/rjaf557. eCollection 2025 Jul.
Giant ovarian cyst is a rare condition with <1% of ovarian cysts. A giant ovarian cyst may interfere with pregnancy and could induce some obstetrics complications and surgery challenges. This case presents a 26-year-old woman with 34 weeks of gestational age came to the polyclinic with right abdominal discomfort. Ultrasound examination showed a singleton live fetal breech presentation with the biometry of 34 weeks and a unilocular mucinous cystic mass arise from the left adnexa with low CA-125 levels. On 38 weeks of gestational age, a Cesarean section was done and evacuated a 35 cm, unilocular cyst that contained 11 L of yellowish fluid. Histopathological examination confirm the benign origin of the mass. Ultrasound examination is essential to determine the cyst characteristic and nature. When detected early in the second trimester, evacuation of the mass could have been done to prevent complications and optimizing the outcome.
巨大卵巢囊肿是一种罕见病症，在卵巢囊肿中占比不到1%。巨大卵巢囊肿可能会干扰妊娠，并可能引发一些产科并发症和手术挑战。该病例为一名26岁、孕34周的女性，因右腹部不适前往综合门诊就诊。超声检查显示单胎活胎臀位，双顶径相当于34周，左附件区有一个单房黏液性囊性肿物，CA - 125水平较低。孕38周时进行了剖宫产，排出了一个35厘米的单房囊肿，囊内含有11升淡黄色液体。组织病理学检查证实该肿物为良性。超声检查对于确定囊肿特征和性质至关重要。如果在孕中期早期发现，可切除肿物以预防并发症并优化结局。
