[Massive ovarian edema: a case report].
Massive ovarian oedema (MOO) is a rare pseudotumour. It is often mistaken for a malignant tumour leading to radical treatment in young patients with the risk of compromising their fertility and hormonal function. Our article describes a case of MOO in a 29-year-old nulligravid patient, who presented with an acute abdomen evocative of an ovarian torsion. Ultrasonography revealed an enlargement of he left ovary measuring 75 mmx51 mm; partial resection of the ovary was performed by laparoscopy and MOO was diagnosed on histological examination. Torsion of the pedicle was not observed. In the event of ovarian hypertrophy, in a young woman with a symptomatic previous history, an exploratory laparoscopy should be undertaken to obtain biopsies for extemporaneous examination and detorsion of the ovary with suspension. Histology is the only means of obtaining a definitive diagnosis, thus preventing unnecessary oophorectomy.
Benhaddou
A
A
Service de gynécologie et obstétrique, centre hospitalier de Vitry-le-François, 51300 Vitry-le-François, France. a.benhaddou@ch-vitrylefrancois.fr
Nore
O
O
Hopfner
C
C
D000006:Abdomen, Acute / Q000209:etiology; D000328:Adult; D004487:Edema / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D006984:Hypertrophy / Q000175:diagnosis / Q000601:surgery; D010049:Ovarian Diseases / Q000175:diagnosis* / Q000601:surgery; D010053:Ovary / Q000473:pathology* / Q000601:surgery