A Huge Ovarian Mucinous Cystadenoma in a 15-Year-Old Girl wi
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A 15-year-old girl had an obvious progressive abdominal distention with gradually increasing abdominal girth that had started 6 months ago and intolerable, severe abdominal pain for nearly a week. Physical examination showed that her breasts grew smaller compared to that of her peers, with sparse pubic and armpit hair. The abdominal bulge was as pronounced as an 8-month pregnant woman. Palpation showed that the abdominal wall tension was obvious, a big palpable mass occupied the entire abdominal cavity with a smooth, nodule-free surface and was fixed with poor activity.

Another striking feature was that clear heart sounds could not be heard in the conventional heart auscultation area. In fact, the right corresponding position drew our attention during
chest auscultation. Her chest X-ray indicated an unusual mirror-image, dextrocardia . Abdominal computed tomography imaging showed that the whole abdominal viscera was in the opposite location. The liver was on the left, while the spleen and stomach were on the right. Two colossal cystic space-occupying lesions were observed in the
abdominopelvic cavity.

After completing necessary examinations, she underwent an exploratory laparotomy with ovarian tumor extirpation. Because of the giant tumor, the whole operating space of abdominal and pelvic cavity was occupied, which makes it difficult for minimally invasive surgery to perform, managed with a traditional larger laparotomy incision. Considering the age of the patient, we dissected the growth carefully and removed two cystic like features completely to avoid damaging the ovary and fallopian tube. Surprisingly, during the procedure found that these two tumors grew separately in her bilateral ovaries, the larger on the left and the smaller on the right. Fortunately, the operation went quite smoothly.

Source: https://www.jpagonline.org/article/S1083-3188(20)30278-3/fulltext?rss=yes