Surgical removal of a gigantic abdominal mass: a multidisciplinary approach

Obstet Gynecol. 2011 Feb;117(2 Pt 2):508-12. doi: 10.1097/AOG.0b013e3182073af8.


Background: Ovarian cystadenomas are common benign ovarian neoplasms that rarely present as gigantic abdominal masses. A variety of intraoperative and postoperative challenges may be encountered in the removal of these masses.

Case: We review the case of a 45-year-old woman who presented with massive abdominal swelling that was later identified as two distinct bilateral serous cystadenomas with a combined weight of approximately 107 kg. A multidisciplinary team including gynecology, plastic surgery, anesthesiology, and the operating room staff convened before surgery to discuss surgical technique, physiologic considerations, and logistical issues.

Conclusion: A multidisciplinary approach had an integral role in intraoperative safety and successful recovery of our patient from this surgery.

Publication types

  • Case Reports

MeSH terms

  • Abdomen / diagnostic imaging
  • Abdomen / surgery*
  • Body Image
  • Cystadenoma, Serous / diagnostic imaging
  • Cystadenoma, Serous / surgery*
  • Female
  • Humans
  • Hypotension / therapy
  • Hysterectomy
  • Laparotomy
  • Middle Aged
  • Ovarian Cysts / diagnostic imaging
  • Ovarian Cysts / surgery*
  • Ovarian Neoplasms / diagnostic imaging
  • Ovarian Neoplasms / surgery*
  • Ovary / surgery
  • Treatment Outcome
  • Ultrasonography