Massive Ovarian Oedema in a 23- year-old Patient: A Case Report

Massive Ovarian Oedema (MOE) is a rare gynaecological disorder that has been rarely reported in our country. Approximately six cases have been reported previously in India. The lesion may either present as a primary disease or develop secondarily, subsequent to an ovarian lesion or pregnancy. Moreover, the primary lesion may induce strangulation of blood vessels and lymphatics, resulting in ischaemia. If abdominal pain persists, the patient may require laparoscopic salpingo-oophorectomy. A 23-year-old female in the reproductive age group developed pain in the lower pelvic region. Upon examination, she exhibited unilateral enlargement of the right ovary. On palpation, an abdominal/pelvic mass was noted. The patient underwent surgery. The ovary was sectioned, and several slices of approximately 1 cm thickness were prepared. A significant amount of water-like serous fluid emerged from the cut surface. A few areas with a gelatinous appearance were also observed. Other findings from the current lesion included necrosis and haemorrhage, along with signs of fibrosis. Extensive fibrosis may lead to strangulation. Most of the cysts contained watery serous fluid. Persistent strangulation of the ovarian pedicle might have resulted in massive oedema. The presence of adult worms of Enterobius vermicularis in the appendix of the patient with MOE might have an aetiological role