No abstract

Purpose Huge Mucinous Cystadenoma in association with pregnancy is quite rare nowadays, since most cases are diagnosed early and incidentally during pregnancy because of the routine use of ultrasound. We are reporting one such case probably the biggest ovarian tumour in association with pregnancy as far as the Indian medical literature is concerned. Method After obtaining written consent, we are reporting a case of 23 years G2P1 at 30 weeks ? 2 days of gestation with huge ovarian tumour who got admitted 8 months back to the department of O&G, SCB Medical College and Hospital, with chief complaints of abdominal discomfort and increase in the size of abdomen for past 1 month. Result Laparotomy was done in view of progressive maternal respiratory compromise. HPE revealed mucinous cystadenoma. Later on, patient expelled a preterm still born foetus and had uneventful postoperative course. Conclusion Management of ovarian tumour in pregnancy depends upon the symptoms, gestational age, size and characteristics of the tumour. Elective surgery should be at second trimester. Emergency surgical intervention is required in the event of torsion, rupture, haemorrhage and maternal respiratory embarrassment. Although mucinous tumours are giant in nature they have an excellent surgical results and survival. Our patient of 30-week gestation landed in urgent laparotomy and right salpingo-oophorectomy due to progressive respiratory embarrassment followed by delivery of a preterm still born baby 30 h later. Early diagnosis and appropriate intervention could have resulted in better feto-maternal outcome.