A massive ovarian mucinous cystadenoma: a case report

Abstract

Objectives: To report the occurrence of a rare case of a huge benign ovarian tumour (mucinous cystadenoma) in Jazan city, Saudi Arabia.

Patients: Our reported case was a middle-aged Saudi woman presented with marked abdominal distension and discomfort at the gynaecology clinic of Jazan General Hospital, Jazan city, Saudi Arabia.

Methods: The data were collected by history-taking, clinical examination, laboratory investigations, transabdominal ultrasonographic examination, and by histo-pathological study of the excised surgical specimen.

Results: The case was reported as a rare massive ovarian mucinous cystadenoma.

Conclusions: This case report emphasizes the significance of thorough evaluation of all women presented with vague abdominal pains. Although the condition is extremely rare, it is a potentially dangerous in its massive form if not timely diagnosed and managed properly. With the increasing awareness of such conditions, more and more cases could be detected and reported early.

Figure 1

A giant pelvi-abdominal mass noticed on abdominal examination.

Figure 2

Plain chest X-ray shows no pleural effusion or metastasis. Upward displacement of the diaphragm affecting air entry into the lower lobes of lungs (explains patient's tachypnea).

Figure 3

Gross picture of the intact ovarian tumour shows smooth outer surface without external growths (42 × 28 × 25 cm in diameters and 7,250 kg in weight).

Figure 4

Microscopic picture of the ovarian tumour shows the lining non-ciliated, mucin-secreting, columnar epithelium with goblet cells (Mucinous cystadenoma).