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Massive Ovarian Oedema: 3 Cases and Clinical Considerations
Author(s) -
Fernando Sujatha S.E.,
GuibaniBousfield Elizabeth,
Wong Felix W.S.
Publication year - 1997
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1997.tb02236.x
Subject(s) - ovarian torsion , medicine , ovary , oophorectomy , conservative management , conservative treatment , general surgery , surgery , gynecology , hysterectomy
EDITORIAL COMMENT: We accepted this paper for publication although a case of massive ovarian oedema was recently reported in this journal (A) because the condition must be less rare than previously considered. The editor and subcommittee have not experienced a case between them yet consider that we should all be aware of the condition since conservative therapy without oophorectomy seems advocated, although seldom practised ‐figure 1 indeed shows an ovary that few would conserve although the other ovary should be inspected for tumour or unusual mobility warranting surgical intervention. Summary: Three cases (2 of which presented with torsion) of massive ovarian oedema occurring in young women, clinically suspected to be a neoplasm, are presented. Microscopic examination of each showed diffuse interstitial oedema and multiple cysts, some surrounded by luteinized cells. As the patients are young, we advocate conservative management with sparing of reproductive capacity, although that is not what happened with any of our 3 patients.