Large ovarian tumors are rare but can present with significant clinical challenges due to their size and associated complications. At Sushruta Multispecialty Hospital & Research Centre, Dr. Sangeeta Antaratani, Senior Obstetrician and Gynaecologist, successfully managed a rare and huge ovarian tumor through laparotomy in a middle-aged woman.

A 49-year-old unmarried female presented with:

Abdominal pain with vomiting for 1 week

Past history of abdominal hysterectomy 15 years ago for abnormal uterine bleeding

On physical examination, a large abdominal mass equivalent to a 30-week pregnancy was detected.

 

Surgical Management

Procedure: Exploratory laparotomy

Intraoperative findings: Bowel and bladder were found adherent to the cyst wall, making dissection challenging.

Surgical outcome: After a meticulous 2.5-hour surgery, a 2.5 kg ovarian mass was carefully removed.

The patient tolerated the procedure well and recovered without complications.

 

Discussion

Huge ovarian tumors are uncommon and can mimic advanced pregnancy due to their size. They are often associated with:

Pressure symptoms (abdominal pain, vomiting, or distension)

Surgical challenges due to adhesions with nearby organs

Successful management requires:

Careful surgical planning

Meticulous dissection to avoid damage to bowel or bladder

Expert postoperative care to ensure smooth recovery

 

Conclusion

This case highlights the importance of timely diagnosis and surgical expertise in managing rare, large ovarian tumors.

At Sushruta Multispecialty Hospital & Research Centre, we are committed to providing comprehensive gynecological care, from complex tumor surgeries to routine women’s health management.

📍 Location: Sushruta Multispecialty Hospital & Research Centre, Hubli, Karnataka
👩‍⚕️ Consultant: Dr. Sangeeta Antaratani, Senior Obstetrician & Gynaecologist