A clinical study of large ovarian cyst with various presentations: prospective interventional study


  • Yellapragada Lakshmi Nalini Department of Obstetrics and Gynecology, Malla Reddy Institute of Medical Sciences, Hyderabad, Telangana, India
  • Deepak Sharma Department of Surgery, Malla Reddy Institute of Medical Sciences, Hyderabad, Telangana, India
  • A. Sarath Chandra Department of Surgery, Malla Reddy Institute of Medical Sciences, Hyderabad, Telangana, India
  • B. S. Lakshmi Deepshika Department of Surgery, Malla Reddy Institute of Medical Sciences, Hyderabad, Telangana, India




Cyst, Laparotomy, Ovarian, Tumour


Background: The definition of huge ovarian cysts is not well described in the literature. Some authors define large ovarian cysts as those that are more than 10 cm in diameter as measured by preoperative scans. An ovarian cyst is a common gynecological problem and is divided into two main categories; physiological and pathological. Aims and objectives of this study was to find out various presentations of large ovarian tumour.

Methods: It was a prospective interventional study done for a period of two year from March 2015 to March 2017 in Department of Obstetrics and Gynecology as well as in Department of General Surgery. During the study period a total of 30 study participants were enrolled.

Results: Majority of the study participants were in the age group of 18-28 years (66.66%) and 33.33% were in the age group of 28-38 years. Near about 33.33% were uncomplicated. Near about 33.33% presented with tortion, 7% with rupture of cyst, infection was seen in 13.33%. About 13.33% were malignant cyst.

Conclusions: Large ovarian cysts are a clinical challenge for Gynaecologists. Quite a good number of these cases can end up with complications and hence, all of them have to be subjected to surgery.


Grimes DA, Jones LB, Lopez LM, Schulz KF. Oral contraceptives for functional ovarian cysts. Cochrane Database Syst Rev. 2014;4:CD006134.

Hongqian L, Xiangao W, Donghao L, Zhihong L. Gang S. Ovarian masses in children and adolescents in China: analysis of 203 cases. J Ovarian Res. 2013;6:47.

Rofe G, Auslend R, Dirnfeld M. Benign ovarian cysts in reproductive-age women undergoing assisted reproductive technology treatment. Open J Obstet Gynecol. 2013;3:17-22.

Farghaly SA. Current diagnosis and management of ovarian cysts. Clin Exp Obstet Gynecol. 2014;41:609-12.

Ou CS, Liu YH, Zabriskie V, Rowbotham R, Alternate methods for laparoscopic management of adnexal masses greater than 10 cm in diameter. J Laparoendoscopic Advanced Surgical Techniques. 2001;11(3):125-32.

Salem HA. Laparoscopic excision of large ovarian cysts. J Obstet Gynaecol Res. 2002;28:290-4.

Nagele F, Magos AL. Combined ultrasonographical guided drainage and laparoscopic excision of a large ovarian cyst. Am J Obstet Gynecol. 1996;175(5):1377-8.

Jeong EH, Kim HS, Ahn CS. Successful laparoscopic removal of huge ovarian cysts. J Am Assoc Gynecol Laparoscopists. 1997;4:609-14.

Postma VA, Wegdam JA, Janssen IM. Laparoscopic extirpation of a giant ovarian cyst. Surg Endoscopy. 2002;16(2):361.

Patrick UE, Lucky KE. Benign ovarian tumours in a tertiary care hospital in Niger delta, Nigeria: a 10 year histopathological study. Int J Cur Res Rev. 2015;7(8).

Chanu SM, Dey B, Raphael V, Panda S, Khonglah Y. Clinico-pathological profile of ovarian cysts in a tertiary care hospital. Int J Reprod Contracept Obstet Gynecol. 2017;6(10):4642-5.

Beeresh CS, Doopadapalli D, Vimala KV, Lingegowda K. Laparoscopic management of large ovarian cysts. Int J Reprod Contracept Obstet Gynecol. 2017;6(5):1999-2002.

Eltabbakh G. Laparoscopic surgery for large ovarian cysts: review. Trends Gynecol Oncol. 2016;2:109.






Original Research Articles