Ovarian cyst

24 year old woman presents with a 4 year history of increasing abdominal distention and a feeling of fullness.  A CT scan of the abdomen revealed a mass measuring 20 x 24 cm.  At a different level there appeared to be a septum.

Image from AnatomyBox.

The patient was discharged to home from the emergency department and was to follow up in the surgical clinic.

Similar case reported NEJM (here)

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