Indian Journal of Obstetrics and Gynecology Research 2021;8(3):411–412 Content available at: https://www.ipinnovative.com/open-access-journals Indian Journal of Obstetrics and Gynecology Research Journal homepage: www.ijogr.org Case Report An ovarian mucinous cystadenoma, presenting with umbilical herniation Aparna Khan Mandal 1 , Aheli Ghosh Dastidar 1, *, Dibyendu Chatterjee 2 , Subhabrata Das 2 1 Dept. of Obstetrics and Gynecology, RG Kar Medical College and Hospital, Kolkata, West Bengal, India 2 Dept. of Surgery, R G Kar Medical College and Hospital, Kolkata, West Bengal, India ARTICLE INFO Article history: Received 02-10-2020 Accepted 21-04-2021 Available online 25-08-2021 Keywords: Mucinous cystadenoma Ovary Umbilical hernia ABSTRACT A postmenopausal lady presented with an uncomplicated umbilical hernia and a hugely distended abdomen without any other overt symptoms. A large pelvi-abdominal lump was palpable. CT showed a huge mass which filled up the entire pelvis and most of the abdomen, with a part of it protruding through the umbilicus. Diagnosis was established histopathologically, as a benign mucinous cystadenoma of the ovary. This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. For reprints contact: reprint@ipinnovative.com 1. Introduction A 59-year old postmenopausal lady, presented to the gynecological OPD with an umbilical hernia and a hugely distended abdomen (Figure 1). She reported gradual painless distension of her abdomen for the preceding 10 months, unassociated with any gastrointestinal or genito- urinary symptoms; this was followed by gradual protrusion of her umbilicus over the preceding three months. On examination a massive, firm but elastic, pelvi-abdominal lump was palpable; the contents of the umbilical hernia had a consistency similar to the abdominal lump and were irreducible, though not strangulated. A CECT scan of the abdomen revealed a huge multiloculated mass, of ovarian origin, with protrusion of a portion through the umbilicus. (Figure 2). The levels of the tumour markers, CA-125-5, CA 19-9 and CEA, were unremarkable. 2. Case Report The patient underwent a bilateral salpingo-oophorectomy and total hysterectomy with removal of the entire tumor * Corresponding author. E-mail address: ahelighosh14@gmail.com (A. G. Dastidar). mass. The umbilical defect was closed with polypropylene sutures. Histopathological examination established the diagnosis as a benign mucinous cystadenoma. Fig. 1: Showing hugely distended abdomen with the umbilical hernia Mucinous cystadenoma of the ovary is a tumor of the epithelial cells of the ovary, with a 10-15% https://doi.org/10.18231/j.ijogr.2021.084 2394-2746/© 2021 Innovative Publication, All rights reserved. 411