32 yrs female with recurrent abdominal distension
PAST HISTORY: 7 yrs back aspirated 3 liter of ascitis....> Asymptomatic for 3 yrs --> again aspirated 2 liters of ascitis......--> again developing abdominal distension.
NO OTHER SYMPTOMS, NO H/O KOCH'S, Family complete. , no fever, no wt loss,
CECT:
FLUID EXAMINATION: amylase 1300mg/dl Triglyceride : 3 mg /dl ADA : normal.... TLC: < 150 With predominant lymphocytes...
Gross: straw colored transparent fluid....
SURGERY: Exploration & removal of rt ovarian cyst.
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