Journal List > Korean J Obstet Gynecol > v.55(8) > 1088505

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Jeon, Jang, and Lee: Polypoid huge ovarian mass manifesting as massive ascites in a young woman
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2012; 55(8): 614-617.

Published online: 17 August 2012

DOI: https://doi.org/10.5468/KJOG.2012.55.8.614

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

Ji Hyun Jeon, MD, In Ae Jang, MD, Sa Ra Lee, MD, PhD

Department of Obstetrics and Gynecology, Ewha Womans University School of Medicine, Seoul, Korea.

Corresponding author: Sa Ra Lee, MD, PhD. Department of Obstetrics and Gynecology, Ewha Womans University School of Medicine, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul 158-710, Korea. Tel: +82-2-2650-6011, Fax: +82-2-2647-9860, sarahmd@ewha.ac.kr

Received 17 April 2012       Revised 4 June 2012       Accepted 12 June 2012

Copyright © 2012. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Ascites, Polypoid, Ovarian mass, Diagnostic laparoscopy

Figures and Tables

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.
kjog-55-614-g001
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).
kjog-55-614-g003

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