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A 30 years old female was admitted with the complaint of lower abdominal mass for 4 months, which was gradually increasing in size, with dragging pain. This journal is a member of and subscribes to the principles of the Committee on Publication Ethics. This is a case report of a 30-years-old female, presenting with a huge ovarian mass along with multiple gallstones; she was treated by fertility-sparing excision of the mass and cholecystectomy, followed by chemotherapy. On examination, the abdomen was distended with a mass arising from the pelvis, about 22 x 20 cm in size; it was non-tender and mobile.
Internal hemorrhage caused by a twisted malignant ovarian dysgerminoma: ultrasonographic findings of a rare case and review of the literature.

Ovarian dysgerminomas are characterised by frequent KIT mutations and abundant expression of pluripotency markers. Clinicopathologic characteristics of malignant germ cell tumours in the ovaries of Korean women: a Korean Gynecologic Oncology Group Study. Pregnancy outcomes and menstrual function after fertility sparing surgery for pure ovarian dysgerminomas. Histopathology revealed ovarian dysgerminoma having islands of large malignant cells separated by scanty fibrous stroma and infiltrated by lymphocytes, with areas of haemorrhages. Bosseleted huge mass was found originating from left ovary and twisted around its pedicle (Figure-a); it was also attached to mesentery (Figure-b).

Adjuvant chemotherapy consisting of 4 cycles of Bleomycin, Etoposide, Cisplatin (BEP) was administered.
She became pregnant and delivered her second baby 6 months back; the pregnancy was without any complications and the child was healthy.

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