November 1977

Massive Edema of the Ovary

Author Affiliations

Department of Pathology Yale University School of Medicine 310 Cedar St New Haven, Conn 06510

Am J Dis Child. 1977;131(11):1295. doi:10.1001/archpedi.1977.02120240113023

Massive edema of the ovary, a rare clinicopathologic entity, usually is associated with acute abdominal pain or as a pelvic mass in young women.1-5 We report the case of a pediatric patient, with acute abdominal symptoms, found to have torsion of a fallopian tube and ovarian edema. This represents the ninth reported case and one of the smallest lesions described.

Report of a Case.—The patient, a 16-year-old nulliparous young woman, came to the emergency room complaining of abdominal pain, anorexia, nausea, and vomiting. Pain, localized to the right lower quadrant, was not associated with urinary or other gastrointestinal symptoms. Menarche occurred at age 13 with a 28-day cycle and minimal menstrual discomfort. The last menstrual period had begun six days prior to admission.

Physical examination disclosed an afebrile young woman complaining of pain localized to the right lower quadrant; no guarding or rebound tenderness were elicited. There was

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