Massive Ovarian Cyst and Sudden DeathChute, Dennis J. MD; Stasaitis, Wilma RNAmerican Journal of Forensic Medicine & Pathology: December 2012 - Volume 33 - Issue 4 - p 300–302 doi: 10.1097/PAF.0b013e318221be82 Case Reports Abstract Author Information Abstract: Massive enlargement of an ovarian cyst is an uncommon cause of morbidity and a rare cause of mortality due in large to part to noninvasive imaging techniques that usually permit early detection. When an ovarian cyst reaches giant proportions, it produces abdominal enlargement often with a fluid wave resulting in a condition that mimics ascites, called pseudoascites. Despite their impressive appearances, such cysts often are operable for cure. We describe a case of a middle-aged woman who presented 3 years before her death with symptoms from an undiagnosed giant cyst and given a diagnosis of ascites of undetermined etiology. She subsequently died at home unexpectedly, and at autopsy, she was found to have a massively enlarged but otherwise benign mucinous cystadenoma. From the Dutchess County Medical Examiner’s Office, Poughkeepsie, NY. Manuscript received January 28, 2011; accepted March 31, 2011. The authors did not receive financial support for this study. The authors report no conflicts of interest. Reprints: Dennis J. Chute, MD, 387 Main St, Poughkeepsie, NY 12601. E-mail: firstname.lastname@example.org. © 2012 Lippincott Williams & Wilkins, Inc.