Minimally invasive drainage of a giant ovarian mucinous cyst
Cysts greater than 10 cm in size are classified as ‘giant’ ovarian mucinous cystadenoma (GOMC). They are large, smooth, loculated and filled with glycoprotein-rich fluid. GOMCs may adhere to nearby organs causing symptoms.

Published in the Journal of Surgical Case Reports, the authors present a case of a GOMC that was not only one of the largest reported in the literature but also in association with a mature cystic teratoma.

A 26-year-old, otherwise healthy female presented to the Emergency Room for the evaluation of abdominal pain. It was immediately apparent that she had a massively distended abdomen. History revealed progressive abdominal distension over several years. Evaluation for pregnancy was negative and a computed tomography (CT) scan demonstrated a 38 × 32 × 23 cm septated cystic mass.

Careful controlled partial needle decompression of the cyst, removing 18.5 l of fluid, was followed by a mini-laparotomy with complete removal of a multi-loculated cystic ovarian mass approximately 45 lb in weight. Pathology was consistent with mucinous cystadenoma of the ovary in association with a mature cystic teratoma.

Major takeway:-
This surgical technique of percutaneous drainage of the cyst, followed by mini-laparotomy is a valuable example of a safe and effective minimally invasive treatment modality for giant ovarian mucinous cystadenomas.

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Dr. P●●●●d G●●●●●●i and 1 others like this
Dr. R●●●●●●r P●●●●●e
Dr. R●●●●●●r P●●●●●e Obstetrics and Gynaecology
If mucinous fluid enters peritoneal cavity it can cause pseudomxoma preferably removed intact
Dec 15, 2018Like