Conservative management of bilateral massive edema of the ovary. A case report.
A case of bilateral massive ovarian edema with unilateral ovarian torsion is reported. Following surgical removal of the adnexa with the torsion, the edema of the opposite ovary resolved with oral contraceptive therapy. This has not been previously reported. This case is instructive because the nodular appearance and yellow color of the ovaries and the presence of yellow ascitic fluid could lead to an erroneous diagnosis of malignancy, resulting in performance of a more radical surgical procedure than is necessary. A review of the literature and the unusual nature of this lesion indicates the need for caution in diagnosis and management.
Hubbell
G P
GP
Department of Obstetrics and Gynecology, University of Michigan Medical Center, Ann Arbor 48109-0718.
Punch
M R
MR
Elkins
T E
TE
Abrams
G D
GD
D000293:Adolescent; D001202:Ascitic Fluid / Q000209:etiology; D003131:Combined Modality Therapy; D003277:Contraceptives, Oral, Combined / Q000627:therapeutic use; D003951:Diagnostic Errors; D004487:Edema / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D004997:Ethinyl Estradiol / Q000008:administration & dosage; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006801:Humans; D009644:Norgestrel / Q000008:administration & dosage; D010049:Ovarian Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D010052:Ovariectomy
D003277:Contraceptives, Oral, Combined; D009644:Norgestrel; D004997:Ethinyl Estradiol