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A large Multilocular Mucinous Cystadenoma in 2nd trimester of pregnancy


Sabiha Sultana1, Umme Hafsa Zakiatul Husna2, Fatema Begum3, Selina Akter4


Adnexal masses in pregnancy occur in 0.5c2/1000 pregnancies. Ovarian Malignancy is the second most common gynecological malignancy diagnosed during pregnancy. A primigravida aged 20 years presented with pregnancy for 21+ weeks with lower abdominal pain, discomfort and breathlessness for last 10 days. Sonographic examination revealed a huge multilocular cyst with septation and an alive fetus of about 21 weeks of gestation. Intra operative findings multilocular cyst were huge multilocular twisted left ovarian cyst (19. 5 x 19. 5cm) with straw coloured mucinous fluid. Left salphingo-oophorectomy was performed followed by peritoneal washings and staging with omental biopsy. Histopathology revealed mucinous cystadenoma with inflammatory changes in omentum, no malignant cells in peritoneal washings. She was under regular supervision and delivered a Male baby of 2.8 kg at 39 weeks of gestation with good APGAR score.

Key words: Mucinous cystadenoma, salphingo-oophorectomy, Ovarian Malignancy

Issue: Vol. 6 No. 2 (2020)

Publish Date: Jun 07, 2022