Authors : Godwin Silas Macheku; Badria Kombe Mushi; Ashraf Yusuph Mahmoud; Twijise Ambah Mwamfup; Neema Ezekiel Kunyaranyara; Jumanne Japhet Karia

Volume/Issue : Volume 11 - 2026, Issue 8 - August

Google Scholar : https://tinyurl.com/466rmjzc

DOI : https://doi.org/10.38124/ijisrt/26aug949

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Abstract : Background: Ovarian serous cystadenomas are benign epithelial tumors that can attain enormous size and occasionally undergo torsion. They are uncommon in adolescents. We report a case of a giant twisted left ovarian serous cystadenoma in a 19-year-old woman who was treated with fertility-preserving surgery.  Case Presentation: A 19-year-old nulliparous woman presented with progressive abdominal distension over 7 months, associated with early satiety, reduced appetite, and weight loss. Her menstrual cycles were regular. Examination revealed a stable patient with a grossly distended abdomen measuring 30 cm from the symphysis pubis and a firm, mobile intra-abdominal mass. Exploratory laparotomy revealed a left ovarian tumor twisted once on its pedicle, occupying the entire abdomen and weighing 5 kg. Cystectomy was performed without spillage. The uterus was normal, both fallopian tubes were normal, and the right ovary was rudimentary. Intraoperative assessment showed no macroscopic features of malignancy. Histopathology confirmed a benign serous cystadenoma.  Conclusion: Giant ovarian serous cystadenomas can present with chronic progressive distension, even in young women. Torsion can be partial or complete. Fertility-sparing cystectomy is feasible and preferred when the contralateral adnexa and uterus are normal. A thorough histopathological examination is essential to exclude malignancy.

Keywords : Ovarian Serous Cystadenoma; Giant Ovarian Cyst; Adnexal Torsion; Adolescent; Fertility-Sparing Surgery; Case Report.

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