Laparoscopic cystectomy of an ovarian mucinous cystadenoma in a 12-year-old girl: a possible role of operative laparoscopy for a huge benign adnexal mass.

Abstract

The case of an obese 12-year-old girl with a huge and mobile pelvic cystic mass is presented. After ultrasonography and determination of tumor markers, a right huge benign adnexal mass was suspected. In order to avoid exploratory laparotomy because severe pain and a large operative scar were expected, an operative laparoscopy was performed. No intra-operative and post-operative complications were observed. With the uneventful recovery, only a one-day hospital stay was needed. Neither residual nor recurrent evidence was suspected after 2-, 6-, 12-, 18- and 24-months follow-up. With proper case selection, good pre-operative counseling and the operation performed under familiarity and good training in laparoscopy, laparoscopic management of a huge suspected benign adnexal mass is technically feasible. The benefits are reducing hospital stay, lowering morbidity, especially less pain and cosmetic acceptance of the operative scar.

• Authors: Amphan Chalermchockcharoenkit, Pongsakdi Chaisilwattana, Pornpimol Ruangvutilert
• Journal: Journal of the Medical Association of Thailand = Chotmaihet thangphaet (J Med Assoc Thai) Vol. 87 Issue 2 Pg. 113-8 (Feb 2004) ISSN: 0125-2208 [Print] Thailand
• PMID: 15061292 (Publication Type: Case Reports, Journal Article)

Topics

• Adnexal Diseases (diagnostic imaging, pathology, surgery)
• Biopsy, Needle
• Child
• Cystadenoma, Mucinous (diagnostic imaging, pathology, surgery)
• Female
• Follow-Up Studies
• Humans
• Immunohistochemistry
• Laparoscopy (methods)
• Minimally Invasive Surgical Procedures (methods)
• Ovarian Neoplasms (diagnostic imaging, pathology, surgery)
• Risk Assessment
• Treatment Outcome
• Ultrasonography