A Huge Ovarian Cyst: Why is it Missed?

A 15-year-old girl presented with progressive abdominal distention for four months duration. An initial assessment by primary care and gynaecological teams concluded that the ascites as cause based on clinical ultra sonographic findings. However, an radiography revealed a huge mature cystic teratoma actual of presenting issue. Despite being rare incidence, this case report highlighted why high index suspicion ovarian pathology in large fluid accumulation paediatric population should be raised. The also value radiography, particularly setting facility differentiating intra-abdominal mass ascites, especially when massive volume hampered ultrasound Though it is not specific, may improve accuracy diagnosis leading to appropriate investigation timely referral department. unusual component was ‘pseudoascites' presentation literature detail distinction between two conditions from aspect point.