Laparoscopic Cystectomy of an Ovarian Mucinous Cysta
denoma in a 12-Year-Old Girl : A Possible Role of Opera
tive Laparoscopy for a Huge Benign Adnexal Mass
AMPHAN CHALERMCHOCKCHAROENKIT, MD*,
PONGSAKDI CHAISIL WATT ANA, MD*,
PORNPIMOL RUANGVUTILERT, MD, PhD**
Affiliation : * Endoscopy Unit,
** Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital,
Mahidol University, Bangkok 10700, Thailand.
AbstractThe case of an obese 12-year-old girl with a huge and mobile pelvic cystic mass is presented.
After ultrasonography and determination of tumor markers, a right huge benign adnexal mass was
suspected. In order to avoid exploratory laparotomy because severe pain and a large operative scar were
expected, an operative laparoscopy was performed. No intra-operative and post-operative complica
tions were observed. With the uneventful recovery, only a one-day hospital stay was needed. Neither
residual nor recurrent evidence was suspected after 2-, 6-, 12-, 18- and 24-months follow-up. With
proper case selection, good pre-operative counseling and the operation performed under familiarity and
good training in laparoscopy, laparoscopic management of a huge suspected benign adnexal mass is
technically feasible. The benefits are reducing hospital stay, lowering morbidity, especially less pain and
cosmetic acceptance of the operative scar.
Keywords : Operative Laparoscopy, Benign Adnexal Mass, Ovarian Mucinous Cystadenoma
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