[Bilateral ovary massive edema. Unusual gynecologic pathology. Report of 2 cases].
We report two cases of bilateral massive ovarian edema occurred in a concentration hospital in the last five years. This condition was first described by Kalstone et al. in 1969. It may be uni or bilateral, the last one is very uncommon, until the moment of this work there have been reported only ten cases in the world literature. The main symptoms are: abdominal pain or distention, menstrual irregularity and infertility. Two features are characteristic of this pathology: 1) Fast growing in size and volume of the ovary, and 2) Abscense of neoplastic changes with extensive edema of the stroma particularly in the medulla. The current treatment is oophorectomy. In bilateral cases may be intended a conservative management with wedge resection and fixation of the ovaries to the uterus in order to prevent further torsion. We conclude that massive ovarian edema is an uncommon pathology more frequent as a cause of abdominal pain and fast growing anexial mass in young women.
de la Cruz
S I
SI
Hospital de Gineco-Obstetricia No. 4 Luis Castelazo Ayala IMSS, México, D.F.
Llanos Arriaga
V
V
Narro Tristán
H
H
Andrade Manzano
A
A
Fernández Martínez
R L
RL
D000328:Adult; D004487:Edema / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D006801:Humans; D010049:Ovarian Diseases / Q000175:diagnosis* / Q000628:therapy