Snapshot

Surgery
Volume 194 - Issue 8

A large serous borderline ovarian tumour mimicking neurogenic bladder

Authors:  Chih-Chung Shiao, Pi-Jen Hong, Shu-Chinh Chao and Jsun-Liang Kao

Med J Aust 2011; 194 (8): 424. || doi: 10.5694/j.1326-5377.2011.tb03039.x
Published online: 18 April 2011
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A 55-year-old woman, who had undergone a total hysterectomy decades previously, presented with lower abdominal fullness and urinary frequency. An abdominal–pelvic contrast-enhanced computed tomography scan (Box) showed a large cystic lesion measuring 20 × 17 × 15 cm, with a smaller “daughter” cyst, a compressed urinary bladder and bilateral hydronephrosis.

The patient subsequently had an ovarian cystic tumour weighing 1822 g removed, and had an uneventful postoperative course. The tumour contained serous fluid, which established the diagnosis of serous borderline ovarian tumour (SBOT). An SBOT manifesting as such a large cyst that mimics neurogenic bladder is rare.1 In general, conservative, fertility-sparing surgery is recommended for its promising outcomes.2

Computed tomography scan showing an ovarian cyst (white arrows) with a daughter cyst (white arrowhead) and a compressed urinary bladder (yellow arrowhead)

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