Massive ovarian edema: A case report

Massive ovarian edema is a rare tumor like entity described as accumulation of edema fluid within separating normal follicular structures. Our case was a 14 year young patient who presented with a large abdominal mass associated with pain. Ultrasound of abdomen revealed cystic enlargement of right ovary and clinical diagnosis of de cyst was made. Exploratory laparotomy showed torsion of right ovarian mass, edematous fallopian tube, for which salpingo-ovariotomy was done. Histopathology was consistent with features of massive edema of right ovary. This entity though rare poses a significant clinical challenge as it can be easily mistaken for neoplasm and should be considered in young patients with solid enlargement of ovary to avoid aggressive treatment. Massive ovarian edema is a rare tumor like entity described as accumulation of edema fluid within separating normal follicular structures. Our case was a 14 year young patient who presented with a large abdominal mass associated with pain. Ultrasound of abdomen revealed cystic enlargement of right ovary and clinical diagnosis of de cyst was made. Exploratory laparotomy showed torsion of right ovarian mass, edematous fallopian tube, for which ovariotomy was done. Histopathology was consistent with features of massive edema of right ovary. This entity significant clinical challenge as it can be easily mistaken for neoplasm and should be considered in young patients with solid enlargement of ovary to avoid aggressive treatment. Conservative management, Ovarian edema, Torsion, Ultrasound