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Case Reports
. 2019 Jun 14;13(1):181.
doi: 10.1186/s13256-019-2102-z.

Giant mucinous cystadenoma: a case report

Chipo Gwanzura  1 , Annie Fungai Muyotcha  2 , Thulani Magwali  2 , Zvavahera Mike Chirenje  2 , Mugove Gerald Madziyire  2
Affiliations
Case Reports

Giant mucinous cystadenoma: a case report

Chipo Gwanzura et al. J Med Case Rep. .

Abstract

Introduction: Giant ovarian cysts are rarely described in the literature, owing to the availability of advanced imaging technologies in developed countries leading to early treatment. In resource-limited settings, various factors lead to late presentation.

Case presentation: We present a case of a 48-year-old black African woman with a giant mucinous cystadenoma who presented to a tertiary hospital with massive abdominal distention 5 years after being referred from a district hospital for the same problem. Surgical management resulted in fatal complications.

Conclusions: The surgical management of these huge tumors is associated with many life-threatening complications. Transvaginal ultrasound should be used in resource-limited settings to delineate ovarian masses. Community health workers must be involved in scouting and follow up of community members with unusual abdominal swellings in developing countries to avoid delays in care.

Keywords: Giant mucinous cystadenoma; Health-seeking behavior; Resource-limited.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Grossly distended abdomen before surgery
Fig. 2
Fig. 2
Intraoperative findings upon abdominal entry
Fig. 3
Fig. 3
Gangrenous abdominal wall postsurgery
Fig. 4
Fig. 4
Histological plates 1–4 showing partial cysts lined by mucus-secreting columnar cells with no stromal invasion, stratification, or atypia
Fig. 5
Fig. 5
Timeline showing sequence of events
See this image and copyright information in PMC

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