Jacobson Amber R, Mallick Hamdan, Rebner Lynnsey M, Poremba Megan, Goparaju Anirudha
General Surgery, Bayhealth Medical Center, Dover, USA.
Medicine, Bayhealth Medical Center, Dover, USA.
Cureus. 2025 Jun 30;17(6):e87081. doi: 10.7759/cureus.87081. eCollection 2025 Jun.
Ovarian cystadenomas are common benign tumors that are typically detected early; however, some patients develop large, symptomatic masses. We report the case of a 72-year-old postmenopausal woman who presented with a two-week history of abdominal pain, nausea, vomiting, and right lower quadrant abdominal fullness. The patient had previously undergone hysterectomy and bilateral oophorectomy. CT imaging revealed a large, multi-loculated pelvic mass (19.3 × 17.4 cm) causing small bowel obstruction and right hydroureteronephrosis. An exploratory laparotomy was performed, and histopathological examination confirmed an ovarian serous cystadenoma. This case highlights that even benign ovarian lesions can lead to significant complications, underscoring the need for a multidisciplinary approach with the support of comprehensive imaging and meticulous surgical planning.
卵巢囊腺瘤是常见的良性肿瘤，通常能早期发现；然而，一些患者会出现较大的、有症状的肿块。我们报告一例72岁绝经后女性病例，该患者有两周的腹痛、恶心、呕吐及右下腹腹胀病史。患者既往接受过子宫切除术和双侧卵巢切除术。CT成像显示一个巨大的、多房性盆腔肿块（19.3×17.4厘米），导致小肠梗阻和右侧肾盂积水。进行了剖腹探查术，组织病理学检查证实为卵巢浆液性囊腺瘤。该病例强调，即使是良性卵巢病变也可能导致严重并发症，突显了在综合影像学支持和精心手术规划下采取多学科方法的必要性。
