Pelvic pain – Ovarian Cyst

Dr Jenny Cook  |  Gynaecologist & Advanced Laparoscopic Surgeon

Recurrent Ovarian Cysts

Symptoms

A 27 year old woman presented with a recurrent left ovarian cyst. She had previously had a large ovarian cyst removed overseas at the age of 18 years. This was performed as a laparotomy and she recalls a long recovery in hospital.

Diagnosis

A pelvic ultrasound revealed an 8cm left ovarian cyst and a smaller 3.8cm right ovarian cyst. Tumour markers were normal suggesting benign cysts.

Procedure

An Operative Laparoscopy was performed. This revealed a large left ovarian cyst and a smaller right ovarian cyst. The pathology revealed bilateral benign serous cystadenomata.

Outcome

The woman made a rapid recovery following a laparoscopic procedure.

Large left ovarian cyst. There are significant adhesions involving bowel, ovaries and uterus
Large left ovarian cyst. There are significant adhesions involving bowel, ovaries and uterus
The adhesions are divided to reveal to left ovarian cyst. The cyst is then removed
The adhesions are divided to reveal to left ovarian cyst. The cyst is then removed
A smaller right ovarian cyst is removed to leave a normal right ovary
A smaller right ovarian cyst is removed to leave a normal right ovary
The end of the operation showing two normal ovaries – ongoing healing will continue
The end of the operation showing two normal ovaries – ongoing healing will continue
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