Surgical Removal of a Gigantic Abdominal Mass: A Multidisciplinary Approach : Obstetrics & Gynecology

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Surgical Removal of a Gigantic Abdominal Mass

A Multidisciplinary Approach

Kincey, Jordana MD; Westin, Shannon N. MD; Zhao, Bihong MD; Curtis, Michele G. MD; Ramondetta, Lois MD

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Obstetrics & Gynecology 117(2 Part 2):p 508-512, February 2011. | DOI: 10.1097/AOG.0b013e3182073af8


Ovarian cystadenomas are common benign ovarian neoplasms that rarely present as gigantic abdominal masses. A variety of intraoperative and postoperative challenges may be encountered in the removal of these masses.


We review the case of a 45-year-old woman who presented with massive abdominal swelling that was later identified as two distinct bilateral serous cystadenomas with a combined weight of approximately 107 kg. A multidisciplinary team including gynecology, plastic surgery, anesthesiology, and the operating room staff convened before surgery to discuss surgical technique, physiologic considerations, and logistical issues.


A multidisciplinary approach had an integral role in intraoperative safety and successful recovery of our patient from this surgery.

© 2011 The American College of Obstetricians and Gynecologists

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