Open Journal of Obstetrics and Gynecology, 2012, 2, 220-222 OJOG http://dx.doi.org/10.4236/ojog.2012.23044 Published Online September 2012 (http://www.SciRP.org/journal/ojog/ ) Giant benign mucinous cystadenoma: A case report Ajit Sebastian, Anitha Thomas * , Annie Regi Department of Obstetrics and Gynaecology, Christian Medical College, Vellore, India Email: * anithomas@cmcvellore.ac.in Received 13 February 2012; revised 20 March 2012; accepted 3 April 2012 ABSTRACT Giant benign tumours of the ovary are rare in the modern world due to the improved technologies and general awareness. They are known to cause pressure symptoms to the surrounding structures. Though they appear frighteningly large, they are amenable to sur- gical debulking with good results in survival and post operative recovery. Here we would like to present a case where the patient could not access medical care, which led to the presentation of a very large muci- nous cystadenoma which responded remarkably to surgical excision. The patient could go back to her normal life following the procedure. Conclusions Giant benign mucinous tumours are a rarely seen in the modern world. They have excellent surgical re- sults and survival rates. Keywords: Giant; Benign; Mucinous; Cystadenomas 1. INTRODUCTION Mucinous cystadenomas make up 15% - 20% of all ova- rian tumors. They often become very large and can ex- tend up into the abdomen [1,2]. About 80% of mucinous tumors are benign, 10% are border-line and 10% are ma- lignant. Although benign ovarian mucinous tumors are rare at the extremities of age, before puberty and after menopause [3], they are common between the third and the fifth decades [4]. The most frequent complications of benign ovarian cysts, in general, are torsion, hemorrhage and rupture. Pseudomyxoma peritonei can result if the tumor ruptures and spills its contents into the abdomen. This report presents a case of a giant ovarian mucinous cystadenoma in an Indian woman, one of the biggest re- ported ovarian tumors in the medical literature. 2. CASE REPORT A 44 yr old P3L3 lady, presented to emergency depart- ment with history of progressive distension of abdomen over 2 years. She was seen in the outpatient department of the hospital 2 yrs back with similar complaints and was advised on surgical intervention but as patient did not understand the intensity of the problem she returned back to her home. She is a resident of a tribal settlement in a hilly region which is a very remote area far from the hospital with very minimal transport facilities. The peo- ple in that area live on food available from the surround- ing forest. She finally decided to come to the hospital with the help of a social worker, when the distension was unimaginably large and difficult to manage. On clinical examination the lady was found to be ema- ciated, in distress with gross abdominal distention (Fig- ure 1). An ultrasound done revealed a huge ovarian cyst, side of origin not known with moderate ascitis. A thera- peutic tap was planned to relieve her of her symptoms. Approximately 2 liters of brownish mucinous material was aspirate and sent for cancer cytology. She weighed 68 kilograms preoperatively. A Compute- rized Tomography imaging done after admission showed a large ovarian tumor with multiple locules and no as- cites, bilateral hydroureteronephrosis. She was planned for laparotomy proceed, abdominal hysterectomy with bilateral salpingo oophorectomy and ureteric stenting. Intra operatively approximately 35 liters’ of fluid was aspirated from the mucinous cyst which was arising from the right ovary. It was multiloculated and was seen Figure 1. Over distended abdomen. * Corresponding author. OPEN ACCESS