거대 난소 낭종 1예

Abstract

Huge ovarian cysts (more than 12 kg) are now rarely seen because of the development in health care systems and education. We had a patient with an ovarian cyst weighing 62 kg, marked distended abdomen, forming caput medusae on abdominal wall, tachypnea, dyspnea, and edema of both legs. The decompression procedure using now is repetitive aspiration of contents of tumor, but there are risks of bleeding, infection, adhesion and seeding of tumor cells. For reducing these risks, the pig-tail catheter was used on the patient. About 44,480 ml of fluid from cyst was drained by a pig-tail catheterization before surgery that improved cardiovascular and respiratory function of the patient. We observed the increase of urine output with the recovery of venous return. Right salpingo-oophorectomy was done. Pathologic diagnosis was intestinal mucinous borderline tumor confined to the capsule of right ovary. She was discharged on postoperative day 8. We report a huge ovarian cyst, which was successfully treated, with review of the literatures.