Unusual presentation of poly-cystic ovaries requiring surgical management- a case report

Polycystic ovarian syndrome (PCOS) is characterised by menstrual irregularities, hyper-androgenic features and polycystic ovaries (PCO). Though it is a commonly diagnosed condition on OPD basis, sometimes the presentation can create a diagnostic challenge. We are reporting one such case of a young girl who came to us with unusual presentation. She had a huge abdomino-pelvic mass mimicking malignant ovarian mass on laparotomy and frozen section, leading to removal of the mass, which on histopathology was reported to be polycystic ovary. In adolescent girls presenting with large ovarian mass, diagnosis of PCOD should be kept in mind before its surgical removal.