Massive serous cystadenofibroma with incidental umbilical endometriosis in a morbidly obese patient presenting as acute respiratory compromise
case-report
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This case report describes a morbidly obese patient with a giant ovarian cyst causing respiratory compromise, requiring cytoreduction due to suspected malignancy and complex comorbidities.
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Abstract
We present a case of a woman in her 50s with a rapidly expanding giant serous cystadenofibroma of the ovary. The 40-kg mass displaced her bowel and splinted her diaphragm, causing mass effect and acute respiratory compromise worsening over a 6-week period. Due to complex features on imaging and raised tumour blood markers, suspicion of malignancy was raised. Therefore, surgical cytoreduction was necessary. In this case, complex multiple comorbidities, including morbid obesity with a BMI of 62.7, posed significant surgical and anaesthetic challenges. This case highlights the complex diagnostic, intraoperative and perioperative challenges in managing giant ovarian cysts in multimorbid obese patients.
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Too few in-corpus citations on either side for a chart; here are the lists.
Cites (3)
- Diagnostic accuracy of cancer antigen 125 for endometriosis: a systematic review and meta‐analysis 2016
- A Postmenopausal Woman with Giant Ovarian Serous Cyst Adenoma: A Case Report with Brief Literature Review 2018
- Current evidence on CA-125 levels in differentiation between endometriomas and endometriosis-associated ovarian cancer – A systematic review and meta-analysis 2024
References (13)
- A Postmenopausal Woman with Giant Ovarian Serous Cyst Adenoma: A Case Report with Brief Literature Review via openalex
- Current evidence on CA-125 levels in differentiation between endometriomas and endometriosis-associated ovarian cancer – A systematic review and meta-analysis via openalex
- Diagnostic accuracy of cancer antigen 125 for endometriosis: a systematic review and meta‐analysis via openalex
- W2099898666 via openalex
- W1977001276 via openalex
- W3004093838 via openalex
- W3172004825 via openalex
- W4210855040 via openalex
- W4312996036 via openalex
- W4392156165 via openalex
- W2997584961 via openalex
- W1999819720 via openalex
- W2050365503 via openalex
Source provenance
- europepmc
- last seen: 2026-06-24T06:10:11.469335+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-06-24T06:06:19.665453+00:00
- unpaywall
- last seen: 2026-06-23T06:35:03.149509+00:00
License: CC0
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