PT - JOURNAL ARTICLE AU - Lili Hayari AU - Erez Shir On AU - Andrei Fedorenko AU - Szvalb Sergio AU - Jamal Zidan AU - Evgeny Solomonov TI - Complications of dysgerminoma: meeting the health needs of patients in conflict zones AID - 10.1136/bcr-2016-217787 DP - 2017 Jan 30 TA - BMJ Case Reports PG - bcr2016217787 VI - 2017 4099 - http://casereports.bmj.com/content/2017/bcr-2016-217787.short 4100 - http://casereports.bmj.com/content/2017/bcr-2016-217787.full AB - A symptom of prolonged conflict is the destruction of infrastructure and healthcare systems. While the need for acute trauma services is obvious in conflict zones, patients with chronic diseases also require care. This report describes the clinical course of a young teenage girl with a large mid pelvic tumour originating from the left ovary and reaching the umbilicus. She presented with acute abdominal pain and underwent surgery in a healthcare facility within a conflict zone. She was then transferred to a neighbouring country for continuing care. The tumour is malignant. After further surgery, she required chemotherapy and will need ongoing surveillance. She has since returned to her home country. It is doubtful that she will be able to access all the care she needs. We describe her healthcare needs and discuss the disastrous effects of conflict on meeting the health needs of civilian populations in war zones.