Massive Ovarian Oedema in a 23-year-old Patient: A Case Report
Massive Ovarian Oedema (MOE) is a rare gynaecological disorder that has been rarely reported in our country. Approximately six cases have been reported previously in India. The lesion may either present as a primary disease or develop secondarily, subsequent to an ovarian lesion or pregnancy. Moreov...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2025-07-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/21187/75169_CE[Ra1]_F(SL)_QC(AN_SS)_PF1(PS_KR)_Redo_PFA_NC(IS)_PN(IS).pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850091622495158272 |
|---|---|
| author | Supriya Mehrotra Bandana Mehrotra Sanjay Mehrotra Ashok Kumar Kapoor Hari Shyam |
| author_facet | Supriya Mehrotra Bandana Mehrotra Sanjay Mehrotra Ashok Kumar Kapoor Hari Shyam |
| author_sort | Supriya Mehrotra |
| collection | DOAJ |
| description | Massive Ovarian Oedema (MOE) is a rare gynaecological disorder that has been rarely reported in our country. Approximately six cases have been reported previously in India. The lesion may either present as a primary disease or develop secondarily, subsequent to an ovarian lesion or pregnancy. Moreover, the primary lesion may induce strangulation of blood vessels and lymphatics, resulting in ischaemia. If abdominal pain persists, the patient may require laparoscopic salpingo-oophorectomy. A 23-year-old female in the reproductive age group developed pain in the lower pelvic region. Upon examination, she exhibited unilateral enlargement of the right ovary. On palpation, an abdominal/pelvic mass was noted. The patient underwent surgery. The ovary was sectioned, and several slices of approximately 1 cm thickness were prepared. A significant amount of water-like serous fluid emerged from the cut surface. A few areas with a gelatinous appearance were also observed. Other findings from the current lesion included necrosis and haemorrhage, along with signs of fibrosis. Extensive fibrosis may lead to strangulation. Most of the cysts contained watery serous fluid. Persistent strangulation of the ovarian pedicle might have resulted in massive oedema. The presence of adult worms of Enterobius vermicularis in the appendix of the patient with MOE might have an aetiological role. |
| format | Article |
| id | doaj-art-4ea0fc733bf044f7a35549c454e2fa82 |
| institution | DOAJ |
| issn | 2249-782X 0973-709X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj-art-4ea0fc733bf044f7a35549c454e2fa822025-08-20T02:42:21ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-07-01197ED04ED0610.7860/JCDR/2025/75169.21187Massive Ovarian Oedema in a 23-year-old Patient: A Case ReportSupriya Mehrotra0Bandana Mehrotra1Sanjay Mehrotra2Ashok Kumar Kapoor3Hari Shyam4Pathologist, Department of Pathology, RML Mehrotra Pathology Pvt. Ltd., Nirala Nagar, Lucknow, Uttar Pradesh, India.Pathologist, Department of Pathology, RML Mehrotra Pathology Pvt. Ltd., Nirala Nagar, Lucknow, Uttar Pradesh, India.Director, RML Mehrotra Pathology Pvt. Ltd, Nirala Nagar, Lucknow, Uttar Pradesh, India.Pathologist, Department of Pathology, RML Mehrotra Pathology Pvt. Ltd., Nirala Nagar, Lucknow, Uttar Pradesh, India.Scientist, Department of Pathology, RML Mehrotra Pathology Pvt. Ltd., Nirala Nagar, Lucknow, Uttar Pradesh, India.Massive Ovarian Oedema (MOE) is a rare gynaecological disorder that has been rarely reported in our country. Approximately six cases have been reported previously in India. The lesion may either present as a primary disease or develop secondarily, subsequent to an ovarian lesion or pregnancy. Moreover, the primary lesion may induce strangulation of blood vessels and lymphatics, resulting in ischaemia. If abdominal pain persists, the patient may require laparoscopic salpingo-oophorectomy. A 23-year-old female in the reproductive age group developed pain in the lower pelvic region. Upon examination, she exhibited unilateral enlargement of the right ovary. On palpation, an abdominal/pelvic mass was noted. The patient underwent surgery. The ovary was sectioned, and several slices of approximately 1 cm thickness were prepared. A significant amount of water-like serous fluid emerged from the cut surface. A few areas with a gelatinous appearance were also observed. Other findings from the current lesion included necrosis and haemorrhage, along with signs of fibrosis. Extensive fibrosis may lead to strangulation. Most of the cysts contained watery serous fluid. Persistent strangulation of the ovarian pedicle might have resulted in massive oedema. The presence of adult worms of Enterobius vermicularis in the appendix of the patient with MOE might have an aetiological role.https://jcdr.net/articles/PDF/21187/75169_CE[Ra1]_F(SL)_QC(AN_SS)_PF1(PS_KR)_Redo_PFA_NC(IS)_PN(IS).pdfcystsfibrosistorsion ischaemia |
| spellingShingle | Supriya Mehrotra Bandana Mehrotra Sanjay Mehrotra Ashok Kumar Kapoor Hari Shyam Massive Ovarian Oedema in a 23-year-old Patient: A Case Report Journal of Clinical and Diagnostic Research cysts fibrosis torsion ischaemia |
| title | Massive Ovarian Oedema in a 23-year-old Patient: A Case Report |
| title_full | Massive Ovarian Oedema in a 23-year-old Patient: A Case Report |
| title_fullStr | Massive Ovarian Oedema in a 23-year-old Patient: A Case Report |
| title_full_unstemmed | Massive Ovarian Oedema in a 23-year-old Patient: A Case Report |
| title_short | Massive Ovarian Oedema in a 23-year-old Patient: A Case Report |
| title_sort | massive ovarian oedema in a 23 year old patient a case report |
| topic | cysts fibrosis torsion ischaemia |
| url | https://jcdr.net/articles/PDF/21187/75169_CE[Ra1]_F(SL)_QC(AN_SS)_PF1(PS_KR)_Redo_PFA_NC(IS)_PN(IS).pdf |
| work_keys_str_mv | AT supriyamehrotra massiveovarianoedemaina23yearoldpatientacasereport AT bandanamehrotra massiveovarianoedemaina23yearoldpatientacasereport AT sanjaymehrotra massiveovarianoedemaina23yearoldpatientacasereport AT ashokkumarkapoor massiveovarianoedemaina23yearoldpatientacasereport AT harishyam massiveovarianoedemaina23yearoldpatientacasereport |