Two Cases of Massive Ovarian Edema

Fukui Kao, Katayama Shuichi, Goto Takafumi, Nakahara Yasuo, Ohkura Takahiro, Hitomi Kosuke, Aoyama Koji

doi:10.11164/jjsps.54.5_1096

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Other Title

女児に発症した卵巣広汎性浮腫の2例
症例報告女児に発症した卵巣広汎性浮腫の2例
ショウレイホウコクジョジニハッショウシタランソウコウハンセイフシュノ 2レイ

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Abstract

<p>Massive ovarian edema (MOE) is characterized by a substantial solid enlargement of the ovary, which is associated with interstitial edema, but does not display any neoplastic change. We here report two cases of MOE. Case 1: A 9-year-old girl presented with appetite loss, vomiting, and an abdominal mass. There was a 10 cm solid mass in the right lower abdomen. Magnetic resonance imaging (MRI) showed an enlarged ovary with a necklace sign (multiple follicles located peripherally), which is characteristic of MOE. At laparotomy, the right ovary was twisted and right salpingo-oophorectomy was performed. Case 2: A 4-year-old girl was admitted to our hospital because of abdominal pain and vomiting. MRI showed a mass with multiple follicles in the pelvis. From MRI findings and clinical experience, we made a preoperative diagnosis of MOE. During laparoscopy, release of the torsion and oophoropexy were performed. The above cases indicate that MOE should be considered in girls presenting with acute abdominal symptoms.</p>

Journal

Journal of the Japanese Society of Pediatric Surgeons

Journal of the Japanese Society of Pediatric Surgeons 54 (5), 1096-1100, 2018-08-20

The Japanese Society of Pediatric Surgeons

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