Background: Management of anesthesia in patients with cystoma ovarian permagna is a challenge because it requires careful preparation and have a high risk during the perioperative period
Case: A woman 25 years old attending with a growing abdomen experienced since the 15 months before admission, the patient complained of slight difficulty breathing. Activity began to decrease, difficult to walk. Patients with 109 cm abdominal circumference. Ultrasound examination showed a large cystoma with ascites . CT scan of the abdomen showed a large cystic mass with a size of 30,3 x 34,9 x42,1 cm with solid components are urging the intestine and the presence of hydronephrosis degrees IV and III in the left- right , minimal intraperitoneal ascites fluid.General Anesthesia were delivered by ET intubation. . The surgery lasted for 2 hours, cystoma successfully removed intact ovary weighed 23 kg. Intraoperative bleeding patients about 500 ml , and 1600 ml of urine production. After 19 hours of observation in the intensive care unit was extubated . After the third day the patient is allowed to be treated in the room . Weight 30 kg patient in the room. Normal physical activity and without complaints of pain with VAS scale ( visual analog score) as silent as it moved 2 cm 0 cm . Patients were allowed to go home after day 8 post for outpatient surgery.
Summary: Management of anesthesia has been conducted to a woman with cystoma ovarian permagna. The surgery was a great success and patient dismissed after day 8 post op.