27/01/2026
A 15-year-old girl came to us with persistent lower abdominal pain, constipation, and a visibly large abdominal mass.
🔍 Imaging revealed a giant cystic ovarian lesion (31 × 23 × 20 cm) arising from the left o***y, extending up to the epigastric region—features suspicious of an ovarian neoplasm.
💡 The priority? Her future.
Considering her young age and long reproductive life ahead, a fertility-sparing surgical plan was finalized after a multidisciplinary tumor board discussion.
🩺 She underwent laparotomy with en-bloc excision of the ovarian mass.
⏱️ Intra-operative frozen section confirmed a mature teratoma, allowing preservation of fertility without compromising oncological safety.
✅ Recovery was smooth, and she was discharged on post-operative day 4.
📋 Final histopathology: Mature cystic teratoma.
✨ Key takeaway:
In young girls with large ovarian masses, meticulous planning, expert surgical judgment, and frozen section assessment can make fertility-preserving surgery a safe and successful reality.
