Laparoscopic conservative surgery for massive ovarian edema with torsion

• Main Authors: Kazu Ueda, Junya Tabata, Nozomu Yanaihara, Yoko Nagayoshi, Ayako Kawabata, Shin Onota, Rui Yamamoto, Yasushi Iida, Kouhei Sugimoto, Aikou Okamoto
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2016-05-01
• Series: Gynecology and Minimally Invasive Therapy
• Subjects: laparoscopy; massive ovarian edema; ovarian torsion; preserved ovarian function
• Online Access: http://www.sciencedirect.com/science/article/pii/S2213307016000356

Massive ovarian edema is a rare condition in which intermittent torsion of the ovary at its pedicle obstructs venous and lymphatic drainage and results in the development of edema in the ovarian stroma. Massive ovarian edema occurs in young women, and most women undergo oophorectomy or wedge resection of the ovary to verify the presence of a neoplasm. We report a case of massive ovarian edema with torsion in a patient who underwent laparoscopic surgery with preserved ovarian function. It is clinically important to make a diagnosis appropriately and rapidly to prevent unnecessary oophorectomy and preserve ovarian function.