{
    "abstract": "Presentation of a giant para-ovarian cysts is rarely reported in the literature, with varying symptoms, methods of treatment, and complications. Herein, we highlight the diagnostic challenges faced in a low resource setting in the diagnosis of a giant para-ovarian cyst in a 17-year-old girl.\nA 17-year-old, virginal girl who presented with vague abdominal pain with an abdomino-pelvic mass of about 24 weeks pregnancy uterus size was diagnosed as a case of huge benign ovarian cyst with normal tumour markers. A computed tomography showed a large well defined clear cystic lesion (19x23 cm) in the abdomino-pelvic region, and normal tumour markers.\nDuring exploratory laparotomy, the mass was found to be a giant para-ovarian cyst arising from right side, with normal bilateral tubes, ovaries and uterus. She underwent successful excision of the cyst with the laparotomy incision, with an uneventful postoperative recovery.\nIn a resource constraint setting, preoperative differentiation of a giant para-ovarian cyst from an ovarian cyst is a real challenge. Operating gynaecologists needs to be aware of the possibility of giant para-ovarian cysts in women with a huge abdomino-pelvic mass with normal tumour markers, and plan the treatment accordingly.",
    "authors": [
        {
            "affiliation": "Faculty of postgraduate medicine, Khesar Gyalpo University of Medical Sciences of Bhutan, Thimphu, Bhutan.",
            "firstname": "Sonam",
            "initials": "S",
            "lastname": "Dechen"
        },
        {
            "affiliation": "Faculty of postgraduate medicine, Khesar Gyalpo University of Medical Sciences of Bhutan, Thimphu, Bhutan; Department of Obstetrics and Gynaecology, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan. Electronic address: namji2002@gmail.com.",
            "firstname": "Namkha",
            "initials": "N",
            "lastname": "Dorji"
        },
        {
            "affiliation": "Department of Pathology and Laboratory Medicine, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan.",
            "firstname": "Birendra",
            "initials": "B",
            "lastname": "Pradhan"
        }
    ],
    "conclusions": "In a resource constraint setting, preoperative differentiation of a giant para-ovarian cyst from an ovarian cyst is a real challenge. Operating gynaecologists needs to be aware of the possibility of giant para-ovarian cysts in women with a huge abdomino-pelvic mass with normal tumour markers, and plan the treatment accordingly.",
    "copyrights": "Copyright \u00a9 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.",
    "doi": "10.1016/j.ijscr.2024.110703\n10.1007/s13224-018-1152-2",
    "journal": "International journal of surgery case reports",
    "keywords": [
        "Benign ovarian neoplasm",
        "Case report",
        "Diagnostic challenge",
        "Incidental diagnosis",
        "Laparotomy",
        "Para-ovarian cyst"
    ],
    "methods": null,
    "publication_date": "2024-12-03",
    "pubmed_id": "39622181\n34434064\n8838299\n30956474\n37674926\n34221481\n31934473\n27974934\n37013953\n31489290\n28969237",
    "results": null,
    "title": "A diagnostic challenge of a giant Para-ovarian cyst in an adolescent girl in a low resource setting- a case report.",
    "xml": "<Element 'PubmedArticle' at 0x788506eeb2e0>"
}