International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 4, Issue 3 | Case Report | Open Access DOI
Shweta Patel*
Prachi Gedam1, Niharika Pandey2, Shweta Patel3*, Bharti Singh3
1Junior Resident, Additional Professor, Department of Obstetrics and Gynecology, All India Institute of Medical Sciences Saket Nagar Bhopal, (M.P.), India
2Senior Resident, Additional Professor, Department of Obstetrics and Gynecology, All India Institute of Medical Sciences Saket Nagar Bhopal, (M.P.), India
3Additional Professor, Department of Obstetrics and Gynecology, All India Institute of Medical Sciences Saket Nagar Bhopal, (M.P.), India
*Correspondence to: Shweta Patel
Fulltext PDFBackground: Inferior vena cava compression syndrome (IVCS) is a rare complication of large intra-abdominal masses, often presenting with lower extremity swelling, hypotension, and, in uncommon cases, syncope. This report highlights an unusual case of IVCS caused by a massive ovarian tumor, leading to dizziness and syncopal episodes.
Case Presentation: A 67-year-old postmenopausal woman presented with progressive abdominal distension, dizziness, and syncope. Imaging revealed a large right ovarian multilobulated cystic mass (16 × 22 × 30 cm) compressing the inferior vena cava. She underwent exploratory laparotomy with total abdominal hysterectomy, bilateral salpingo-oophorectomy. Histopathology confirmed mucinous cystadenoma. Postoperatively, her symptoms completely resolved.
Conclusion: Large ovarian masses should be considered in the differential diagnosis of unexplained syncope. Timely imaging and surgical intervention are crucial for symptom resolution and preventing complications.
Ovarian mass, Inferior vena cava compression, Syncope, Mucinous cystadenoma
Prachi Gedem, Niharika Pandey, Shweta Patel, Bharti Singh. Atypical Presentation of a Large Ovarian Mass as Syncope Due to Inferior Vena Cava Compression. Int Clinc Med Case Rep Jour. 2025;4(3):1-4