Surgical Removal of a Gigantic Abdominal Mass A Multidisciplinary Approach

BACKGROUND: 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. CASE: 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. CONCLUSION: A multidisciplinary approach had an integral role in intraoperative safety and successful recovery of our patient from this surgery. (Obstet Gynecol 2011;117:508-12) DOI: 10.1097/AOG.0b013e3182073af8