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Case Report
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| Removal of a 40-kg ovarian tumor and the ensuing complex postoperative complications | ||||||
| Alya Binmahfouz1,2, Paul Leschke3, Karin Steinke4 | ||||||
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1MD, Fellow in Women's Imaging, Department of Medical Imaging, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
2Department of Medical Imaging, King Abdul-Aziz University Hospital, Jeddah, Saudi Arabia. 3MD Radiologists, Nambour General Hospital, Nambour, QLD, Australia. 4MD, PhD Associate Professor, Department of Medical Imaging, Royal Brisbane and Women's Hospital, University of Queensland, School of Medicine, Brisbane, QLD, Australia. | ||||||
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| How to cite this article |
| Binmahfouz A, Leschke P, Steinke K. Removal of a 40-kg ovarian tumor and the ensuing complex postoperative complications. Int J Case Rep Images 2016;7(10):628–632. |
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Abstract
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Introduction:
Giant ovarian cystic tumors are uncommon, they are mostly encountered in postmenopausal females who do not seek medical attention early in the course of the disease, out of fear of being diagnosed with malignancy. However, late presentation subjects patients to a wide spectrum of complications and at times an unfavorable prognosis.
Case Report: We present the case of a 57-year-old female who was admitted to our hospital in an unstable condition, complaining of dyspnea and massive abdominal distention. Imaging showed a giant ovarian cystic tumor, causing mass effect on the lungs and abdominal viscera and compressing the inferior vena cava (IVC). After drainage of 38 L of dark brown fluid and surgical removal of the tumor, the patient suffered respiratory failure due to re-expansion pulmonary edema, and was admitted to the intensive care unit (ICU) and mechanically ventilated. Additionally, therapeutic heparinization of IVC thrombosis was accomplished. The histology of the ovarian mass revealed borderline mucinous tumor. The patient made a full recovery after 15 days. Conclusion: This case illustrates the spectrum of potential postoperative complications ensuing from the removal of a giant abdominal mass causing respiratory and hemodynamic imbalance. | |
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Keywords:
Giant ovarian tumor, Postoperative complications, Re-expansion pulmonary edema
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Author Contributions
Alya Binmahfouz – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Paul Leschke – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Karin Steinke – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Alya Binmahfouz et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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