Large ovarian cyst in children: differential diagnostic problem – case report
Authors: Raković Mirko , Rakonjac Zoran , Šatara Mirko 
Published: July 2014

&lt;p&gt;&lt;strong&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 1110.24px; top: 302.246px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.16849);&quot; role=&quot;presentation&quot;&gt;Introduction&lt;/span&gt;&lt;/strong&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 1206.52px; top: 302.246px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.10978);&quot; role=&quot;presentation&quot;&gt;&lt;strong&gt;.&lt;/strong&gt; Ovarian cysts occur when a portion of the ovary is filled with liquid. The most common &lt;/span&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 1110.24px; top: 322.246px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.10094);&quot; role=&quot;presentation&quot;&gt;cysts are functional, and their size is usually between 2 and 6 cm, although cases of the large-size cysts &lt;/span&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 1110.24px; top: 342.246px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.09963);&quot; role=&quot;presentation&quot;&gt;have been described, as well.&lt;/span&gt;&lt;br role=&quot;presentation&quot; /&gt;&lt;strong&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 1110.24px; top: 371.696px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.16032);&quot; role=&quot;presentation&quot;&gt;Case Outline&lt;/span&gt;&lt;/strong&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 1210.68px; top: 371.696px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.1296);&quot; role=&quot;presentation&quot;&gt;&lt;strong&gt;.&lt;/strong&gt; This paper reports a case of a 16-year-old girl admitted with a large tumorous mass of &lt;/span&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 1110.24px; top: 391.696px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.10501);&quot; role=&quot;presentation&quot;&gt;unclear etiology in the abdomen. Ten months prior to her admission she had noticed that &amp;rsquo;&amp;rsquo;her stomach &lt;/span&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 1110.24px; top: 411.696px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.08059);&quot; role=&quot;presentation&quot;&gt;was growing&amp;rsquo;&amp;rsquo;. She had no subjective difficulties. Prior to hospitalisation she complained of having diffi&lt;/span&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 1110.24px; top: 431.71px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.0648);&quot; role=&quot;presentation&quot;&gt;culties moving and of tiredness when being more active. According to laboratory findings and radiological &lt;/span&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 1110.24px; top: 451.71px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.09587);&quot; role=&quot;presentation&quot;&gt;examinations (US and CT of abdomen) it was not possible to establish the origin of the tumorous mass, &lt;/span&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 1110.24px; top: 471.71px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.11903);&quot; role=&quot;presentation&quot;&gt;i.e. the attachment to any abdominal organ. Based on our experience, we assumed that this was either &lt;/span&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 1110.24px; top: 491.71px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.13146);&quot; role=&quot;presentation&quot;&gt;mesenteric or ovarian cyst. Laparotomy was performed, and based on surgical and pathohistological&lt;/span&gt;&lt;br role=&quot;presentation&quot; /&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 1110.24px; top: 511.71px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.08551);&quot; role=&quot;presentation&quot;&gt;reports, a large serous cyst of the left ovarium size 35.65 cm X 14.90 cm containing 10.5 l of liquid, was &lt;/span&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 1110.24px; top: 531.71px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.1138);&quot; role=&quot;presentation&quot;&gt;established. No complications were detected during the surgical and post-surgical procedures.&lt;/span&gt;&lt;br role=&quot;presentation&quot; /&gt;&lt;strong&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 1110.24px; top: 561.16px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.14596);&quot; role=&quot;presentation&quot;&gt;Conclusion&lt;/span&gt;&lt;/strong&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 1197.25px; top: 561.16px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.10413);&quot; role=&quot;presentation&quot;&gt;&lt;strong&gt;.&lt;/strong&gt; In differential-diagnosis of cystic lesions of the ovary visual diagnostic methods (US, CT, &lt;/span&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 1110.24px; top: 581.16px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.11669);&quot; role=&quot;presentation&quot;&gt;MRI) may be useful although often only after surgery and histological verification of cysts, definitive &lt;/span&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 1110.24px; top: 601.16px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.09622);&quot; role=&quot;presentation&quot;&gt;diagnosis can be set.&lt;/span&gt;&lt;/p&gt;