Korean J Obstet Gynecol.  2012 Aug;55(8):614-617. 10.5468/KJOG.2012.55.8.614.

Polypoid huge ovarian mass manifesting as massive ascites in a young woman

• Jeon JH
• Jang IA
• Lee SR

• KMID: 2078116
• DOI: http://doi.org/10.5468/KJOG.2012.55.8.614

Abstract

In young aged female patients complaining of abdominal distension, we have to consider the possibility of pelvic mass of gynecologic origin even if the imaging study suggest massive ascites with bilateral normal ovaries, especially in whom without underlying medical disease or symptoms of ascites. Polypoid huge ovarian mass with thin wall could manifest as massive ascites as in this case. Following careful counseling with patient, the diagnostic laparoscopy could be a good option for early diagnosis and treatment in such a case, instead of performing numerous diagnostic work-up to find out the medical disease causing massive ascites.

Keyword

Ascites; Polypoid; Ovarian mass; Diagnostic laparoscopy

MeSH Terms

Aged
Ascites
Counseling
Early Diagnosis
Female
Humans
Laparoscopy
Ovary

Figure

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  Fig. 1 Abdomino-pelvic computed tomography suggesting normal both ovaries without adnexal mass and massive ascites of unknown origin filling the entire abdomino-pelvic cavity.

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  Fig. 2 Diagnostic laparoscopic findings (A, B) Huge thin walled cystic mass filling entire abdomino-pelvic cavity and left ovary. (C) A mass with polypoid outgrowth from left ovary. (D) Postoperative state showing normal bilateral ovaries and tubes.

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  Fig. 3 Microscopic photograph of the polypoid huge ovarian tumor. (A) Tumor consisting of epithelial lining composed of columnar and cuboidal cell (H&E, ×40). (B) Cyst-lining cells without nuclear atypia, stromal invasion, or mitosis (H&E, ×400).

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