A Massive Postpartum Mucinous Cystadenoma in a Teenager
Keywords:
postpartum, puerperium, mucinous cystadenoma, teenage pregnancyAbstract
Introduction: Huge ovarian cyst is seldom reported in the gravid-puerperium period, and delay in its diagnosis may result in unpleasant foeto-maternal outcomes.
Case presentation: A 19-year-old single lady presented with unresolved progressive abdominal distension three days after spontaneous vaginal delivery at a traditional birth attendant (TBA) home. Diagnostic and therapeutic laparotomy with salpingo-oophorectomy yielded a huge multicystic ovarian mass. The histopathology report revealed mucinous cystadenoma of the right ovary.
Conclusion: Post-partum huge ovarian cyst is rare, hence systemic approach is vital in its management to prevent postoperative complications, and recurrence as well as preservation of future fertility.
References
Mezmur H, Assefa N, Alemayehu T. Teenage pregnancy and its associated factors in eastern Ethiopia: a community-based study. Int J Womens Health. 2021: 267–278.
Cook SMC, Cameron ST. Social issues of teenage pregnancy. Obstet Gynaecol Reprod Med. 2015; 25: 243–248.
Grigore M, Murarasu M, Himiniuc LM, Toma BF, Duma O, Popovici R. Large ovarian tumors in adolescents, a systematic review of reported cases, diagnostic findings and surgical management. Taiwan J Obstet Gynecol. 2021; 60: 602–608.
Grapsa D, Kairi-Vassilatou E, Kleanthis C, Dastamani C, Fillipidou A, Kondi-Pafiti A. Epithelial ovarian tumors in adolescents: a retrospective pathologic study and a critical review of the literature. J Pediatr Adolesc Gynecol. 2011; 24: 386–388.
Jamaluddin M, Ahmed HH. Giant Ovarian Tumor Presenting as a Huge Abdomino-Pelvic Mass in a Teenage Girl: A Case Report. J Bangladesh Coll Physicians Surg. 2021; 39:137–141.
Olasinde A, Ogunlaja O, Olasinde YT, Mobolaji-Ojibara MU, Adelaja-ojulari N. Giant Ovarian Cyst in a Term Pregnancy Simulating a Massive Ascites: A Case Report. Cureus. 2022; 14.
Dhivya K. An unusual case of malignant epithelial ovarian tumour associated with teenage pregnancy. 2019; 5.
Güraslan HG, Yaşar LY, Ekin M, Kaya C, Cengiz H, Gönenç MG. Successful management of a giant mucinous ovarian tumor with intraoperative controlled fluid aspiration. Eur J Gynaecol Oncol. 2015; 36:615–617.
Baniya G, Verma K, Kumari S. Diagnosis and management of a giant ovarian cyst during pregnancy and puerperium: Case series. Panacea J Med Sci. 2022; 12:717–723.
Muniandy S, Hoon YTC, Suleman A, Ramaiah PD. Abdominal Mass in the Puerperium: Challenges in Diagnosis. Borneo J Med Sci. 2019; 13(3):37.
Hota BM, Rukmini KR, Basavaih PGC. Giant ovarian cyst in term pregnancy-a rare case report. Bali Med J. 2015; 4:5–7.
Mikos T, Tabakoudis GP, Pados G, Eugenidis NP, Assimakopoulos E. Failure of ultrasound to diagnose a giant ovarian cyst: a case report. Cases J. 2009; 2:1–4.
Gwanzura C, Muyotcha AF, Magwali T, Chirenje ZM, Madziyire MG. Giant mucinous cystadenoma: a case report. J Med Case Rep. 2019; 13:1–6.
Singh A, Singh A, Anand A, Singh S, Tiwari S. Giant Left Ovarian Cyst Masquerading as the Right Ovarian Cyst: A Case Report. International Journal of Medical and Oral Research. 2020; 5(1):19-20
Kiemtoré S, Zamané H, Sawadogo YA, Sib RS, Komboigo E, Ouédraogo A et al. Diagnosis and management of a giant ovarian cyst in the gravid-puerperium period: a case report. BMC Pregnancy Childbirth. 2019; 19:523.
Cevik M, Guldur ME. An extra-large ovarian mucinous cystadenoma in a premenarchal girl and a review of the literature. J Pediatr Adolesc Gynecol. 2013; 26: 22–26.

Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Western Nigeria Journal of Medical Sciences

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.