PT  - JOURNAL ARTICLE
AU  - Kennedy, Alexander W.
TI  - Removal of massive ovarian tumor: case report and a critical review of surgical management and postoperative care
DP  - 1983 Dec 21
TA  - Cleveland Clinic Journal of Medicine
PG  - 461--464
VI  - 50
IP  - 4
4099  - http://www.ccjm.org/content/50/4/461.short
4100  - http://www.ccjm.org/content/50/4/461.full
SO  - Cleve Clin J Med1983 Dec 21; 50
AB  - A 31-year-old woman had a massive ovarian tumor and multiple associated metabolic abnormalities. Preoperative care included correction of cachexia-induced dehydration, hyperkalemia, azotemia, anemia, and hypoproteinemia. Hyperalimentation was also instituted because of profound malnutrition. Complete cardiovascular monitoring was used preoperatively to maximize her status and specifically to improve intravascular volume and cardiac output. At surgery, a 60-65- kg ovarian mucinous cystadenocarcinoma of low malignant potential was removed, and a Swan-Ganz catheter was inserted to monitor therapy for resultant hypovolemic and splanchnic shock. Postoperative complications included adult respiratory distress, sepsis, hemorrhagic ulcerative cytomegalic virus colitis, and acute tubular necrosis. Eventually the patient died of hemorrhagic necrotizing cytomegalic virus pneumonitis. The surgical therapy of massive ovarian tumors and resultant complications are reviewed.