Treatment of Ovarian Cyst...

A 58-year-old postmenopausal woman with three previous cesarean sections presented with gradual abdominal distension over the past three months. The patient was stable upon examination, and a large abdominal mass corresponding to a 34-week gestational-size uterus was firm in consistency with limited mobility. A vaginal examination showed a mass of the same size, which was also firm to hard in consistency, and the uterus could not be felt separately. Right-side forniceal tenderness was present. Abdominal ultrasound indicated a large cystic lesion measuring 23 × 18 cm, which extended from the pelvis to the epigastric region and contained thick internal septae. Contrast-enhanced computer tomography showed a large hypodense cystic density lesion of 25 × 23 × 21 cm, with multiple internal hyperdense septations, suggestive of a cystadenoma of the ovary. She underwent surgery to remove a large right ovarian cyst with a mass of 30 × 26 × 24 cm in size (Figure 1).1