F H Peters1, C Brunell, E Benjamin. 1. Department of Diagnostic Imaging, University College London Hospital, London, UK. drfran@doctors.org.uk
Abstract
BACKGROUND: Massive ovarian edema is a rare entity, which in most cases occurs in adult females presenting with abdominal pain. We present an unusual case associated with contralateral teratoma in a premenarchal female. CASE: A 13-year-old asymptomatic female presenting with an abdominopelvic mass was referred to the gynecological oncology unit with complex bilateral pelvic masses seen on ultrasound. A combination of computed tomography and repeat ultrasound demonstrated a solid mass containing numerous subcentimeter cysts inseparable from a mature teratoma. Exploratory surgery resulted in unilateral oophorectomy and contralateral cystectomy. Pathology confirmed massive ovarian edema and contralateral mature teratoma. SUMMARY AND CONCLUSION: Recognition of this rare condition is important to avoid overtreatment of massive ovarian edema. Intraoperative biopsy is recommended as an alternative to oophorectomy in this patient group.
BACKGROUND: Massive ovarian edema is a rare entity, which in most cases occurs in adult females presenting with abdominal pain. We present an unusual case associated with contralateral teratoma in a premenarchal female. CASE: A 13-year-old asymptomatic female presenting with an abdominopelvic mass was referred to the gynecological oncology unit with complex bilateral pelvic masses seen on ultrasound. A combination of computed tomography and repeat ultrasound demonstrated a solid mass containing numerous subcentimeter cysts inseparable from a mature teratoma. Exploratory surgery resulted in unilateral oophorectomy and contralateral cystectomy. Pathology confirmed massive ovarian edema and contralateral mature teratoma. SUMMARY AND CONCLUSION: Recognition of this rare condition is important to avoid overtreatment of massive ovarian edema. Intraoperative biopsy is recommended as an alternative to oophorectomy in this patient group.