EC Gynaecology

Case Report Volume 12 Issue 1 - 2023

Giant Hemorrhagic Ovarian Cyst in an Adolescence Girl; A Case Report

Azka Mujeeb1 * and Shalini Malhotra2

1Specialist Obstetrics and Gynecology, MRCOG, MRCPI, MOH (Ministry of Health), United Arab Emirates

2Consultant Obstetrics and Gynecology, MS (Gynae) DNB, MNAMS, MRCOG, United Arab Emirates

*Corresponding Author: Azka Mujeeb, Department of Obstetrics and Gynecology, Al Qassimi Woman and Children Hospital Sharjah, United Arab Emirates.
Received: November 28, 2022; Published: December 19, 2022

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

  1. Skinner MA., et al. “Ovarian neoplasms in children”. Archives of Surgery 128 (1993): 849-854.
  2. Oltmann SC., et al. “Can we preoperatively risk stratify ovarian masses for malignancy?” Journal of Pediatric Surgery 45 (2010): 130-134.
  3. Cass DL., et al. “Surgery for ovarian masses in infants, children, and adolescents: 102 consecutive patients treated in a 15-year period”. Journal of Pediatric Surgery 36 (2001): 693-699.
  4. Grovas A., et al. “The national cancer data base report on patterns of childhood cancers in the United States”. Cancer 80 (1997): 2321.
  5. Templeman C., et al. “Noninflammatory ovarian masses in girls and young women”. Obstetrics and Gynecology 96 (2000): 229-233.
  6. Laufer M and Goldstein D. “Benign and malignant ovarian masses”. Pediatric and adolescent gynecology. Lippincott Williams and Wilkins, Philadelphia (2000): 685-728.
  7. Millar D., et al. “Prepubertal ovarian cyst formation: 5 years’ experience”. Obstetrics and Gynecology 81 (1993): 434-438.
  8. Oltmann SC., et al. “Can we preoperatively risk stratify ovarian masses for malignancy?” Journal of Pediatric Surgery 1 (2010): 130-134.
  9. Jeong YY., et al. “Imaging evaluation of ovarian masses”. Radio Graphics 5 (2000): 1445-1470.
  10. Anthony EY., et al. “Adnexal masses in female pediatric patients”. The American Journal of Roentgenology 5 (2012): W426-W431.
  11. States LJ and Meyer JS. “Imaging modalities in pediatric oncology”. Radiologic Clinics of North America4 (2011): 579-588.
  12. De Backer A., et al. “Ovarian germ cell tumors in children: a clinical study of 66 patients”. Pediatric Blood and Cancer 4 (2006): 459-464.
  13. Young RH., et al. “Ovarian Sertoli-Leydig cell tumor with retiform and heterologous components: report of a case with hepatocytic differentiation and elevated serum alpha-fetoprotein”. The American Journal of Surgical Pathology 9 (1984): 709-718.
  14. Kapp DS., et al. “Pure dysgerminoma of the ovary with elevated serum human chorionic gonadotropin: diagnostic and therapeutic considerations”. Gynecologic Oncology 2 (1985): 234-244.
  15. Sheiko MC and Hart WR. “Ovarian germinoma (dysgerminoma) with elevated serum lactic dehydrogenase: case report and review of literature”. Cancer 5 (1982): 994-998.
  16. Tsai JY., et al. “Diagnosis, pathology, staging, treatment, and outcome of epithelial ovarian neoplasia in patients age < 21 years”. Cancer 11 (2001): 2065-2070.
  17. Jobling T., et al. “A prospective study of inhibin in granulosa cell tumors of the ovary”. Gynecologic Oncology 2 (1994): 285-289.
  18. Epelman M., et al. “Imaging of pediatric ovarian neoplasms”. Pediatric Radiology 9 (2011): 1085-1099.
  19. Merino MJ and Jaffe G. “Age contrast in ovarian pathology”. Cancer2 (1993): 537-544.

Azka Mujeeb and Shalini Malhotra. Giant Hemorrhagic Ovarian Cyst in an Adolescence Girl; A Case Report. EC Gynaecology 12.1 (2023): 61-67.