Brenner tumours are rare epithelial tumour of ovary. It was first described by Frit Brenner in 1907. In this case report, a 50 year old lady came to hospital with pain abdomen for 1 week with the bilateral palpable mass in both iliac fossa on per abdominal examination. Her CA 125 was 525 mU/L and on CT scan bilateral heterogeneous mass with cystic area was seen. Total abdominal hysterectomy with bilateral removal of ovarian mass along with fallopian tube, bilateral pelvic lymphadenectomy and infracolic omentectomy was done. Histopathological report revealed malignant brenner tumour. She is presently on combined chemotherapy of carboplatin and paclitaxel.
In the modern era use of instrumental delivery is on a declining trend. Due to increase morbidity associated with forcep applications most women in developing countries preferred emergency caesarean section over instrumental delivery. But in country like India instrumental delivery is still preferable over caesarean section in many situations. We report a case that was referred from a peripheral hospital with simultaneous bladder and anal sphincter injury to our hospital. She was managed by a multidisciplinary team including urologist, surgeon and gynaecologist. Such type of case is very rare in modern era. To prevent such complications prerequisite for forcep application must be fulfilled. So that bladder injury, urinary fistula, anal incontinence and fetal complication can be avoided.
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