Giant Ovarian Tumor.
Tomasz KluzAnna BogaczykBarbara Wita-PopówPiotr HabałoMarta KluzPublished in: Medicina (Kaunas, Lithuania) (2023)
Giant ovarian tumors are rare, as most cases are diagnosed during routine gynecological check-ups or abdominal ultrasound examinations. They are a challenge for gynecologists and surgeons. Diagnosis in such patients is difficult due to the limitations of the medical apparatus. Perioperative management requires specialized anesthetic medical care and is associated with high mortality. The paper presents the case of a 23-year-old woman with a giant ovarian serous tumor, characterized by an enlargement of the abdominal circumference, periodic abdominal pain, irregular menstruation, and infertility. The patient attributed these nonspecific symptoms to obesity; therefore, she was hesitant to schedule a doctor's appointment. The patient underwent laparotomy, and the cyst originating from the left ovary was removed along with part of the organ. An intraoperative examination was performed. After confirming the benign nature of the lesion, the operation was completed. In our work, we concentrated on the multidisciplinary care of the patient who required enhanced medical care from the internal medicine, cardiology, anesthesiology, rehabilitation medicine, and gynecology specialists. There were no hemodynamic changes in the heart during hospitalization. There were no significant early or late postoperative complications. In this case, we also paid attention to compression symptoms resulting from a giant ovarian tumor and the high risk of intraoperative complications resulting from its resection.
Keyphrases
- case report
- end stage renal disease
- healthcare
- patients undergoing
- quality improvement
- palliative care
- magnetic resonance imaging
- risk factors
- cardiac surgery
- chronic kidney disease
- ejection fraction
- rare case
- type diabetes
- heart failure
- peritoneal dialysis
- high grade
- working memory
- weight loss
- insulin resistance
- prognostic factors
- physical activity
- coronary artery disease
- sleep quality
- acute kidney injury
- depressive symptoms
- computed tomography
- patient reported outcomes
- health insurance