A case of big omental cyst mimicking like malignant ovarian tumor

There is no loss of weight. Her menstrual periods were regular. On examination there was mild pallor her pulse rare was 90/minute. Her BP was 120/88mm of Hg. There was no lymphadenopathy mild pedal edema was present. On per abdominal examination there was a cystic lump in lower abdomen expending up to umbilicus. On per speculum examination cervix was normal. On per vaginal examination uterus could not be felt separately from mass. No tenderness. On Ultrasound there was a large ovarian mass. CT scan was also done which was also showing large ovarian mass (Figure 1) (Figure 2). There was no ascites and no lymphadenopathy. Patient was planned for total abdominal hysterectomy and bilateral salpingoophrectomy. But patient was willing for preservation of her fertility because she wanted one more child. 4