EC Gynaecology

Adolescent girl presenting with huge abdominal cyst is uncommon in this part of the world. Though most of them are serous cystadenomas of ovaries, but grossly enlarged simple cyst are extremely rare.

Adnexal masses are uncommon occurrences in the adolescent population. However, when they occur, they are anxiety-provoking for both the patient and her family. Many practitioners are unfamiliar with the proper management of these adnexal masses and are quick to proceed with surgical intervention that is often unnecessary. and treatment of benign ovarian cysts in order to conserve ovarian function. Quick intervention and surgical management are justified in case of suspicion of torsion or large hemorrhage.

We present case report of a 13 year old girl who presented to emergency with an acute symptoms of progressive abdominal pain and distension associated with shortness of breath, palpitation, fatigue, difficulty in sitting and supine position with grossly enlarged abdominal pelvic mass. After being stabilized as she was in severe distress and hemodynamic instability, she was operated and subsequently diagnosed as hemorrhagic ovarian cyst, with nearly 12 liters of blood mixed fluid that was aspirated from it before it could be decompressed and removed.

Keywords: Giant Hemorrhagic Ovarian Cyst; Adolescence Girl

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