RESUMEN
We report two cases of bilateral massive ovarian edema occurred in a concentration hospital in the last five years. This condition was first described by Kalstone et al. in 1969. It may be uni or bilateral, the last one is very uncommon, until the moment of this work there have been reported only ten cases in the world literature. The main symptoms are: abdominal pain or distention, menstrual irregularity and infertility. Two features are characteristic of this pathology: 1) Fast growing in size and volume of the ovary, and 2) Abscense of neoplastic changes with extensive edema of the stroma particularly in the medulla. The current treatment is oophorectomy. In bilateral cases may be intended a conservative management with wedge resection and fixation of the ovaries to the uterus in order to prevent further torsion. We conclude that massive ovarian edema is an uncommon pathology more frequent as a cause of abdominal pain and fast growing anexial mass in young women.
Asunto(s)
Edema/diagnóstico , Enfermedades del Ovario/diagnóstico , Adulto , Edema/terapia , Femenino , Humanos , Enfermedades del Ovario/terapiaRESUMEN
We described three cases of female patients with myomata of rare location. A 37 year old female with abnormal genital bleeding, secondary to cervical neoplasm; underwent total abdominal hysterectomy in 1993. A year later an excision of anterior vaginal dependent neoplasm was performed. A 16 year old female with Bartholinitis. Excision of vulvar tumor was performed. A 35 year old female with urinary stress incontinence, hematuria, referring foreign body sensation in the vagina, with a neoplasm in the urethra. The patient underwent for excision of the tumor. In all three cases the neoplasm excised underwent histopathologic analysis resulting as vulvar, vaginal and urethral myomata.