Giant abdominal cyst in a young female patient: A case report
| Autor: | Natália Santos, Carlos Casimiro, Claudia da Costa Leite, Ana Oliveira, Bruno Teixeira Barbosa |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Abdominal pain endocrine system Adenoma endocrine system diseases Exploratory laparotomy medicine.medical_treatment Abdominal cyst Article 03 medical and health sciences Ovarian tumor 0302 clinical medicine parasitic diseases Case report medicine Cyst Mucinous cystadenoma Abdominal distension Ovarian cyst business.industry medicine.disease female genital diseases and pregnancy complications 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery Radiology medicine.symptom business Adnexectomy |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • We should consider the differential diagnoses of an abdominal cyst. • In premenopausal women, ovarian cysts are frequent and may grow to considerable size. • Some ovarian cysts cause symptoms, such as obstipation, vomiting and malnourishment. • US is the primary imaging study for an ovarian cyst. • Persistent simple ovarian cysts larger than 10 cm should be considered for surgery. Introduction Most abdominal cysts derive from the ovary. The range of differential diagnoses is wide. Unfortunately, imaging studies not always determine its origin. Presentation of case The authors present the case of a 20-year-old female patient, admitted to the emergency department due to abdominal pain and distension, whose imaging studies revealed a gigantic abdominal cyst of unknown origin. She underwent an exploratory laparotomy that disclosed an ovarian cyst that was removed by a left adnexectomy. It weighed 10Kg and was 60 cm wide. The pathology report showed a mucinous cyst adenoma. Discussion Once a patient present with an abdominal cyst, one should always consider the extensive list of differential diagnoses. In premenopausal women, ovarian cysts are very frequent. Cysts may grow to considerable size. Our patient was symptomatic, malnourished and dehydrated. Neither ultrasonography nor computed tomography were able to define the origin of the cyst. Persistent ovarian cysts larger than 10 cm, particularly if symptomatic, should be considered for surgery. Conclusion Progressive abdominal distension in premenopausal women should raise suspicion of an ovarian tumor, such as mucinous cystadenoma. These tumours are benign, but when their size is considerable, complications do arise and their surgical removal may be life threatening. |
| Databáze: | OpenAIRE |
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