Jordana Kincey1, Shannon N Westin, Bihong Zhao, Michele G Curtis, Lois Ramondetta. 1. From the Departments of Obstetrics and Gynecology and Pathology, Lyndon Baines Johnson Hospital, Houston, Texas; and the Department of Gynecologic Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Abstract
BACKGROUND: Ovarian cystadenomas are common benign ovarian neoplasms that rarely present as gigantic abdominal masses. A variety of intraoperative and postoperative challenges may be encountered in the removal of these masses. CASE: We review the case of a 45-year-old woman who presented with massive abdominal swelling that was later identified as two distinct bilateral serous cystadenomas with a combined weight of approximately 107 kg. A multidisciplinary team including gynecology, plastic surgery, anesthesiology, and the operating room staff convened before surgery to discuss surgical technique, physiologic considerations, and logistical issues. CONCLUSION: A multidisciplinary approach had an integral role in intraoperative safety and successful recovery of our patient from this surgery.
BACKGROUND: Ovarian cystadenomas are common benign ovarian neoplasms that rarely present as gigantic abdominal masses. A variety of intraoperative and postoperative challenges may be encountered in the removal of these masses. CASE: We review the case of a 45-year-old woman who presented with massive abdominal swelling that was later identified as two distinct bilateral serous cystadenomas with a combined weight of approximately 107 kg. A multidisciplinary team including gynecology, plastic surgery, anesthesiology, and the operating room staff convened before surgery to discuss surgical technique, physiologic considerations, and logistical issues. CONCLUSION: A multidisciplinary approach had an integral role in intraoperative safety and successful recovery of our patient from this surgery.