A Case of Large Ovarian Cystadenoma

Patient Presentation

A 43-year-old female presented with persistent abdominal pain, which had progressively worsened over time. Clinical examination suggested a mass in the abdomen, necessitating further evaluation.

Diagnostic Evaluation

A pelvic ultrasound (USG) revealed a large cystic lesion measuring approximately 18 x 11 x 18 cm. The lesion exhibited:

• Multiple septations

• A notable nodule

• Absence of a separately visualized left ovary

The lesion appeared to originate from the left ovary and extended into the hypochondriac and epigastric regions. Findings strongly indicated a large ovarian cystadenoma.

Management and Surgical Intervention

A laparotomy was performed to excise the mass. The surgical findings confirmed the presence of a *2-kg ovarian cystadenoma*, predominantly arising from the left ovary. Complete removal was successfully achieved.

Outcome

The patient tolerated the procedure well and had an uneventful recovery. Postoperative follow-up revealed significant relief from symptoms, with no complications.

Discussion

Ovarian cystadenomas are benign epithelial tumors that can grow significantly large if untreated. Their management requires timely diagnosis, often through imaging modalities like ultrasound and CT scans, and appropriate surgical intervention.

This case underscores the importance of early detection and multidisciplinary expertise in handling complex cases of abdominal masses.