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Giant Ovarian Cyst

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Ton-Ho Young, M.D. Herng-Sheng Lee, M.D., Ph.D.

Tri-Service General Hospital Taipei, Taiwan herngsheng131419@gmail.com

24-year-old woman (gravida 0, para 0) presented with a history of progressive abdominal distention during the previous year, accompanied satiety and constipation. There RETAKE 1st was no history of menstrual abnorAUTHOR Young ICMby early 2nd REGpelvic F FIGURE mality, pain, a&b or urinary frequency. She had had poliomyelitis approximately 3rd CASE TITLE and still used crutches 18 years earlier for walking. Computed tomography of the Revised EMail Line 4-C abdomen revealed a large, well-encapsulated SIZE mass that filled the entire abdominal Enon ARTIST: mst H/T H/T cavity (Panel A); the scanCombo also showed posterior compression of the bowel (arrow) 39p6 FILL and of the left kidney AUTHOR,(arrowhead). PLEASE NOTE: Exploratory laparotomy revealed a large cystic Figure has been the redrawn and adnexa; type has been reset. mass arising from right the left adnexa were normal. A right salpingoPlease check carefully. oophorectomy was performed, and a cystic mass measuring 37 by 22 by 27 cm with a smooth, glistening wall wasISSUE: removed (Panel B). Pathological examination conJOB: 35820 5-15-08 firmed that the cyst was a benign serous cystadenoma, characterized by a single layer of ciliated columnar epithelial cells and stroma containing spindly fibroblasts; nuclear atypia and increased mitotic index were not observed. The patient recovered completely and was discharged within a week after surgery.
Copyright 2008 Massachusetts Medical Society.

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n engl j med 358;20 www.nejm.org may 15, 2008

The New England Journal of Medicine Downloaded from nejm.org on April 25, 2013. For personal use only. No other uses without permission. Copyright 2008 Massachusetts Medical Society. All rights reserved.