A large unilocular mucinous cystadenoma in third trimester of pregnancy

J Coll Physicians Surg Pak. 2011 Jul;21(7):426-8.

Abstract

Ovarian malignancy is the second most common gynaecological malignancy diagnosed during pregnancy. A grand multipara, aged 30 years presented with gestational amenorrhea with abdominal discomfort and breathlessness for last 15 days. Sonographic examination demonstrated a huge, unilocular ovarian cyst and an alive fetus of about 30 weeks gestation. Intraoperative findings were huge left ovarian cyst (42x40x20 cm) with straw coloured mucinous fluid. Left salpingo-oophorectomy was performed followed by peritoneal washings and omental biopsy. Histopathology revealed mucinous cystadenomas with inflammatory changes in omentum and no malignant cells in peritoneal washings. She delivered vaginally a female baby of 3.5 kg at 38 weeks with good Apgar score.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cystadenoma, Mucinous / diagnosis*
  • Cystadenoma, Mucinous / surgery
  • Diagnosis, Differential
  • Female
  • Follow-Up Studies
  • Humans
  • Ovarian Neoplasms / diagnosis*
  • Ovarian Neoplasms / surgery
  • Ovariectomy / methods
  • Pregnancy
  • Pregnancy Complications, Neoplastic / diagnosis*
  • Pregnancy Complications, Neoplastic / surgery
  • Pregnancy Trimester, Third*