| Summary points: | A 66-year-old South Indian postmenopausal woman presents with gradually increasing abdominal swelling first noticed 2 years earlier, accompanied by vague abdominal pain for 6 months and increase in size for 4 months. Due to the huge mass she was unable to walk and had anorexia. Medical and family history, physical examination, vaginal examination, preoperative investigations, chest x-ray, ultrasound examination, magnetic resonance imaging, and surgery are described. The authors discuss their finding of a giant, totally cystic, vascularised and smooth mass weighing 23 kg attached to the right ovary during laparotomy. This is one of the largest ovarian cysts reported in the literature. |