A Giant Ovarian Cyst Masquerading as Pregnancy: A Case Report

A 30-year-old woman presented with abdominal pain, amenorrhea, and a significantly enlarged abdomen. Initially, she believed she was pregnant due to the cessation of her menstrual cycles and gradual abdominal growth over several months. However, an ultrasound examination revealed a massive ovarian cyst, rather than a pregnancy. Due to the patient's extremely late presentation, which resulted in a giant ovarian cyst, a laparotomy was necessitated over laparoscopy, as the sheer size and complexity of the case demanded an open surgical approach to ensure safe and effective management. Despite the challenges posed by the case, the healthy ovary was successfully preserved, pertaining to the young age of the patient. This case underscores the importance of regular medical check-ups and timely ultrasounds for early detection and management of ovarian cysts. The absence of distinctive symptoms in this case made accurate preoperative diagnosis challenging, emphasizing the need for awareness and prompt evaluation to prevent complications. Early diagnosis and intervention are crucial in managing ovarian cysts and preventing potential complications, highlighting the significance of timely medical evaluation.

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Publication Details

Journal
Cureus
Published
2025-08-17
DOI
https://doi.org/10.7759/cureus.90319
Primary Topic
Ovarian cancer diagnosis and treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

A Giant Ovarian Cyst Masquerading as Pregnancy: A Case Report

Fariha Sabeen
Cureus
Ovarian cancer diagnosis and treatment
article

A Giant Ovarian Cyst Masquerading as Pregnancy: A Case Report

Fariha Sabeen
article en

Abstract

A 30-year-old woman presented with abdominal pain, amenorrhea, and a significantly enlarged abdomen. Initially, she believed she was pregnant due to the cessation of her menstrual cycles and gradual abdominal growth over several months. However, an ultrasound examination revealed a massive ovarian cyst, rather than a pregnancy. Due to the patient's extremely late presentation, which resulted in a giant ovarian cyst, a laparotomy was necessitated over laparoscopy, as the sheer size and complexity of the case demanded an open surgical approach to ensure safe and effective management. Despite the challenges posed by the case, the healthy ovary was successfully preserved, pertaining to the young age of the patient. This case underscores the importance of regular medical check-ups and timely ultrasounds for early detection and management of ovarian cysts. The absence of distinctive symptoms in this case made accurate preoperative diagnosis challenging, emphasizing the need for awareness and prompt evaluation to prevent complications. Early diagnosis and intervention are crucial in managing ovarian cysts and preventing potential complications, highlighting the significance of timely medical evaluation.

CureusVol. 17(8)
Rajendra Institute of Medical Sciences (IN)
Openalex Percentile: Top 71%
Ovarian cancer diagnosis and treatment
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A Giant Ovarian Cyst Masquerading as Pregnancy: A Case Report — Fariha Sabeen · Cureus (2025) | TGRS Research Map | TGRS