Bilateral Massive Ovarian Edema Due to Chronic Torsion Treated with Conservative Laparoscopic Approach

Abstract

Abstract

Background:

Massive ovarian edema (MOE) is a rare benign condition causing enlargement of the ovaries by edema fluid. The risk for women suffering from MOE is that the ovaries are removed as they can be mistaken for tumors, which can then potentially result in premature menopause. However, wedge resection and/or ovaropexy is now the treatment of choice.

Case:

A 28-year-old nulliparous patient experienced 8 years of episodic abdominal pain due to intermittent ovarian torsion resulting in bilateral MOE.

Results:

The patient was treated successfully with conservative surgery involving ovarian detorsion and bilateral ovaropexy. Her symptoms resolved and follow-up ultrasound showed a dramatic reduction in bilateral ovarian sizes.

Conclusions:

MOE, due to chronic torsion, can be treated with a conservative laparoscopic approach, obviating the need for oophorectomy or wedge resection.