Case report of ovarian edema – A diagnostic dilemma

Ovarian edema is a rare solid tumor-like condition, usually seen in women of reproductive age. It occurs due to the accumulation of interstitial fluid in the stroma of the ovary, because of partial or complete torsion of the ovary causing interference with the venous or lymphatic flow but not the ar...

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Main Authors: Rooma Sinha, B Rupa, Tejal Modi, Soumya Sampurna
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Apollo Medicine
Subjects:
Online Access:http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2022;volume=19;issue=1;spage=54;epage=56;aulast=Sinha
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author Rooma Sinha
B Rupa
Tejal Modi
Soumya Sampurna
author_facet Rooma Sinha
B Rupa
Tejal Modi
Soumya Sampurna
author_sort Rooma Sinha
collection DOAJ
description Ovarian edema is a rare solid tumor-like condition, usually seen in women of reproductive age. It occurs due to the accumulation of interstitial fluid in the stroma of the ovary, because of partial or complete torsion of the ovary causing interference with the venous or lymphatic flow but not the arterial flow. It is a misleading condition, difficult to diagnose visually and can lead to oophorectomy resulting in loss of fertility and hormonal function. We report the case of a 13-year-old girl who presented with acute abdomen. The ovary gave a visual impression of malignancy at laparoscopy and a frozen section was done. The frozen section ruled out malignancy and reported as ovarian edema which is a benign condition. The patient underwent ovarian detorsion and the ovary was conserved. Ovarian conservation is important in young girls and oophorectomy should not be done on visual suspicion. When possible frozen section should be done to confirm a benign pathology intraoperatively before taking a decision of surgical removal of the ovary.
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spelling doaj.art-013834fd328340dfb116f60cf3294f362022-12-22T04:12:28ZengWolters Kluwer Medknow PublicationsApollo Medicine0976-00162213-36822022-01-01191545610.4103/am.am_111_21Case report of ovarian edema – A diagnostic dilemmaRooma SinhaB RupaTejal ModiSoumya SampurnaOvarian edema is a rare solid tumor-like condition, usually seen in women of reproductive age. It occurs due to the accumulation of interstitial fluid in the stroma of the ovary, because of partial or complete torsion of the ovary causing interference with the venous or lymphatic flow but not the arterial flow. It is a misleading condition, difficult to diagnose visually and can lead to oophorectomy resulting in loss of fertility and hormonal function. We report the case of a 13-year-old girl who presented with acute abdomen. The ovary gave a visual impression of malignancy at laparoscopy and a frozen section was done. The frozen section ruled out malignancy and reported as ovarian edema which is a benign condition. The patient underwent ovarian detorsion and the ovary was conserved. Ovarian conservation is important in young girls and oophorectomy should not be done on visual suspicion. When possible frozen section should be done to confirm a benign pathology intraoperatively before taking a decision of surgical removal of the ovary.http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2022;volume=19;issue=1;spage=54;epage=56;aulast=Sinhabenignlaparoscopyoophorectomyovarian edema
spellingShingle Rooma Sinha
B Rupa
Tejal Modi
Soumya Sampurna
Case report of ovarian edema – A diagnostic dilemma
Apollo Medicine
benign
laparoscopy
oophorectomy
ovarian edema
title Case report of ovarian edema – A diagnostic dilemma
title_full Case report of ovarian edema – A diagnostic dilemma
title_fullStr Case report of ovarian edema – A diagnostic dilemma
title_full_unstemmed Case report of ovarian edema – A diagnostic dilemma
title_short Case report of ovarian edema – A diagnostic dilemma
title_sort case report of ovarian edema a diagnostic dilemma
topic benign
laparoscopy
oophorectomy
ovarian edema
url http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2022;volume=19;issue=1;spage=54;epage=56;aulast=Sinha
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