Abstract
Laparoscopic approaches to giant ovarian cysts, particularly in adolescents, have
critical management concerns as follows: risk of malignancy, risk of cyst rupture,
and limited working space.
A 15-year-old girl presented with a giant (>25 cm) ovarian serous cyst adenoma containing
7 L of fluid. At open laparoscopy, a giant, entirely cystic, smooth mass originating
from the right ovary and lying between the symphysis and the xiphoid was observed.
After intraabdominal fluid aspiration, open conservative cystectomy was performed,
avoiding spillage. The patient made an uneventful postoperative recovery and was discharged
on the second postoperative day.
To our knowledge, this is the largest ovarian cyst treated conservatively in an adolescent.
Minimal access surgery, laparoscopy and open cystectomy, can be safely proposed in
this group of patients.
Conservative surgery should always be evaluated for preservation of ovarian function
in cases of giant ovarian cysts in adolescents.
Key words
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Article info
Publication history
Accepted:
March 4,
2009
Received in revised form:
February 3,
2009
Received:
September 30,
2008
Identification
Copyright
Published by Elsevier Inc.
