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Prof. Dr. Hossam Abd El Kader El Fol

Ovary

Ovary :

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Vedio  (2)

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Case 1: Present by lower abdominal pain after clinical and radiological

 Female Patient 51 years old present by lower abdominal pain after clinical and radiological evaluation bilateral adenexial masses the right  huge cystic and the lift was solid CA125 was normal level .the patient was prepared for exploration for panhystrectomy and omentectomy

the patient was obese so transeverse incision for skin incision.

rectus sheath was opened vertically to

panhystrectomy was done and omentectomy.

post operative after panhystrectomy



Case 2: Presented by lower abdominal swelling and sever lower abdominal agonizing pain

Female patient 45 years old presented by lower abdominal swelling and sever lower abdominal agonizing pain, clinical examination show tenderness and repond tenderness and abdominal wall rigidity all over the abdominal cavity     C.T show huge adenexial mass CA125with high level .the patient prepared for exploration panhystrectomy and omentectomy protenial wash for cytological examination, appendectomy .

C T examinations.

 

patient prepared for midline incision.

during exploration found that torsion of ovarian tumor and early gangrene

 

delivering the tumor outside the abdomen.

panhystrectomy and omentectomy protenial  appendectomy specimen.  


Case 3: Presented by huge pelvic abdomen mass

Female patient 20 years old virgin presented by huge pelvic abdomen mass C T scan show very huge abdominal mass and normal left ovary, CA 125 was normal exploration midline excision right vasectomy with preservation the left ovary.
The pathological report show the ovarian cyst adenoma.the patient gets pregnant after tow year. 

show huge ovarian tumor full the abdomen .

 

delivering the tumor and normal left ovary and the entire intestine pushed to the diaphragm.     

show the postoperative empty lower abdomine and pelvis and the intestine pushed to diaphragm


Case 4: Present with lower abdominal swelling CT  right ovarian mass normal level

 Female patient 7 years old present with lower abdominal swelling CT  right ovarian mass normal level  CA 125 right. The right  ovarectomy wasdone  .pathological report shown germ cell tumor.

shows the tumor during exploration.

shows  the delivering the tumor .

post operative excision