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Dilemma of the giant abdominal cyst
  1. Zi Qin Ng1,2,
  2. Sharin Pradhan2 and
  3. Ruwan Wijesuriya2
  1. 1 Royal Perth Hospital, Perth, Western Australia, Australia
  2. 2 Department of General Surgery, St John of God Midland Public and Private Hospitals, Midland, Australia
  1. Correspondence to Dr Zi Qin Ng, kentng{at}


Giant abdominal cyst can lead to various non-specific symptoms such as abdominal bloating, nausea/vomiting, constipation due to its mass effect. In rarer circumstances, it can lead to bowel obstruction, hydronephrosis and even abdominal compartment syndrome. Hereby, we present a case of giant abdominal cyst in a young woman where its origin was a diagnostic dilemma despite exhausting all imaging techniques. A laparotomy was performed and the giant cyst was found to be originating from the left ovary. The final histopathology confirmed it as an ovarian benign serous cystadenoma. The patient made a fully recovery without any complications.

  • surgery
  • obstetrics and gynaecology
  • general surgery
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  • Contributors ZQN designed the study, collected and analysed the data, drafted the article and approved the final version of the article to be published. SP and RW analysed the data, revised the article and approved the final version of the article to be published. RW codesigned the study, analysed the data, critically reviewed the article, supervised the study and approved the final version of the article to be published.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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