Serous cystadenoma with massive ovarian edema. A case report and review of the literature.
BACKGROUND
Massive ovarian edema is an usual tumour-like condition. It may be confused with an ovarian neoplasm.


METHODS
A 13-year-old female in premenarchy was referred as emergency case to a local hospital due to acute, severe and persistent hypogastric pain. She had noticed a gradual abdominal enlargement, mainly on the right abdomen during the last months. Ultrasound revealed a mass of a non-echogenic cystic compartment of 13 cm maximum diameter, and an area of mixed echogenicity of 11 cm maximum diameter at the anatomic site of the right ovary. The CA- 125 levels were increased. An unilateral salpingo-oophorectomy was performed. The pathology examination revealed serous cystadenoma with massive ovarian edema.


CONCLUSIONS
Conservative treatment and ovarian suspension may be more appropriate, when histology on frozen section suggests a benign lesion.
Diamantopoulou
S
S
3rd Department of Obstetrics Gynaecology, Athens Medical School, ATTIKON University Hospital, Athens, Greece. matoula_diam@yahoo.com
Sikiotis
K
K
Panayiotides
J
J
Kassanos
D
D
D000293:Adolescent; D018293:Cystadenoma, Serous / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010051:Ovarian Neoplasms / Q000473:pathology* / Q000601:surgery; D010052:Ovariectomy