Abstract
Background:
Ovarian cysts are more common in adolescents than has been assumed. Large ovarian cysts, however, are rare. Conventionally, large ovarian cysts have been managed by laparotomy. Laparoscopy has advantages of minimal bleeding, minimal postoperative pain, early recovery, and minimal scarring.
Case:
A 14-year-old Omani adolescent female had bilateral ovarian cysts, the larger of which had twisted and, owing to its size, had induced hydronephrosis. A laparoscopic cystectomy was performed with preservation of this patient's ovaries.
Results:
Less than 50 mL of blood was lost during the entire procedure. The patient was discharged in good condition on the second postoperative day. A histopathologic examination showed the specimen was a serous cystadenoma. There was no evidence of cellular atypia.
Conclusions:
The maximum size of ovarian cysts that can be treated with laparoscopy has not been determined. However, with proper selection of cases, cyst size cannot be a limitation for laparoscopic surgery.
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