title: Massive ovarian oedema: a misleading clinical entity.
abstract: BACKGROUND
  Massive ovarian oedema is a rare non-neoplastic clinicopathologic entity has a higher incidence in women during their second and third life decade. The oedema can be presented in one or both ovaries as a result of partial intermittent torsion of the ovarian pedicle that interferes to the venal and lymphatic drainage of the ovary.
  
  
  METHODS
  We present a clinical case of a 16 year old with massive ovarian oedema and we performed a review of the literature. The pathophysiology of this entity is very complex. We tried to perform a complete review of the literature and focus on the complexity of this entity as far as its pathophysiological backround is concerned and as far as its clinical presentation is concerned.
  
  
  CONCLUSIONS
  In conclusion, massive ovarian oedema is a rare, multi disease mimicking clinical entity, with an acute or progressive clinical presentation. It has also to be a part of our differential diagnosis in cases of acute abdominal pain and we have to try to treat her conservatively, in order to preserve fertility.
authors: Obstetric - Gynecology Department, "Thriassio" General Hospital of Athens, George Genimata, 19600, Athens, Greece.
authors: Nikolaos
authors: N
authors: Machairiotis
authors: Trauma Surgery Department, " Centre Hospitalier de Luxembourg", General Hospital of Luxemburg, 4 Rue de Marble, Luxembourg, Belgium.
authors: Aikaterini
authors: A
authors: Stylianaki
authors: 1st Internal Medicine Department, "Thriassio" General Hospital of Athens, George Genimata, 19600, Athens, Greece.
authors: Paraskevi
authors: P
authors: Kouroutou
authors: Obstetric - Gynecology Department, "Thriassio" General Hospital of Athens, George Genimata, 19600, Athens, Greece.
authors: Polixeni
authors: P
authors: Sarli
authors: Obstetric - Gynecology Department, "Thriassio" General Hospital of Athens, George Genimata, 19600, Athens, Greece.
authors: Nikolaos Konstantinos
authors: NK
authors: Alexiou
authors: Obstetric - Gynecology Department, "Thriassio" General Hospital of Athens, George Genimata, 19600, Athens, Greece.
authors: Elias
authors: E
authors: Efthymiou
authors: Obstetric - Gynecology Department, "Thriassio" General Hospital of Athens, George Genimata, 19600, Athens, Greece.
authors: Athanasios
authors: A
authors: Maras
authors: 1st Internal Medicine Department, "Thriassio" General Hospital of Athens, George Genimata, 19600, Athens, Greece.
authors: Nikolaos Georgios
authors: NG
authors: Alexiou
authors: 1st Internal Medicine Department, "Thriassio" General Hospital of Athens, George Genimata, 19600, Athens, Greece.
authors: Spyridon Evaggelos
authors: SE
authors: Nikolaou
authors: Radiology Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Dragana, Greece.
authors: Nikolaos
authors: N
authors: Courcoutsakis
authors: Pathology Department, "Thriassio" General Hospital of Athens, George Genimata, 19600, Athens, Greece.
authors: Eleni
authors: E
authors: Papakonstantinou
authors: Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece. pzarog@hotmail.com.
authors: Paul
authors: P
authors: Zarogoulidis
authors: Thoracic Surgery Department, Theagenio Cancer Hospital, Thessaloniki, Greece.
authors: Nikolaos
authors: N
authors: Barbetakis
authors: Thoracic Surgery Department, Theagenio Cancer Hospital, Thessaloniki, Greece.
authors: Dimitrios
authors: D
authors: Paliouras
authors: Thoracic Surgery Department, Theagenio Cancer Hospital, Thessaloniki, Greece.
authors: Apostolos
authors: A
authors: Gogakos
authors: Obstetric - Gynecology Department, "Thriassio" General Hospital of Athens, George Genimata, 19600, Athens, Greece.
authors: Christodoulos
authors: C
authors: Machairiotis
mesh_terms: D000293:Adolescent; D001706:Biopsy; D003937:Diagnosis, Differential; D004487:Edema / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D010049:Ovarian Diseases / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D011237:Predictive Value of Tests; D014057:Tomography, X-Ray Computed