Work

A diagnostic challenge of a giant Para-ovarian cyst in an adolescent girl in a low resource setting- a case report

Year: 2024

Type: article

Abstract: INTRODUCTION AND IMPORTANCE: Presentation of a giant para-ovarian cysts is rarely reported in the literature, with varying symptoms, methods of treatment, and complications. Herein, we highlight the diagnostic challenges faced in a low resource setting in the diagnosis of a giant para-ovarian cyst in a 17-year-old girl. CASE PRESENTATION: A 17-year-old, virginal girl who presented with vague abdominal pain with an abdomino-pelvic mass of about 24 weeks pregnancy uterus size was diagnosed as a case of huge benign ovarian cyst with normal tumour markers. A computed tomography showed a large well defined clear cystic lesion (19x23 cm) in the abdomino-pelvic region, and normal tumour markers. CLINICAL DISCUSSION: During exploratory laparotomy, the mass was found to be a giant para-ovarian cyst arising from right side, with normal bilateral tubes, ovaries and uterus. She underwent successful excision of the cyst with the laparotomy incision, with an uneventful postoperative recovery. CONCLUSION: In a resource constraint setting, preoperative differentiation of a giant para-ovarian cyst from an ovarian cyst is a real challenge. Operating gynaecologists needs to be aware of the possibility of giant para-ovarian cysts in women with a huge abdomino-pelvic mass with normal tumour markers, and plan the treatment accordingly.

Source: International Journal of Surgery Case Reports

DOI: 10.1016/j.ijscr.2024.110703

Authors: Sonam Dechen, Namkha Dorji, Birendra Pradhan

Institution: Khesar Gyalpo University of Medical Sciences of Bhutan

Language: English

Topic: Gynecological conditions and treatments

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,800