Benign Ovarian Tumor: A Diagnostic Dilemma Necessitating Excessive Surgery in a Resource Poor Setting

Matthew Igwe Nwali^1, , Joseph Agboeze¹, Onwe Abraham Bong¹, Obi Vitus Okwuchukwu¹, Ikeotuonye Arinze C¹ and Ugadu Ikechukwu Ogwudu¹

¹Department of Obstetrics and Gynecology, Federal Teaching Hospital, PMB 102, Abakaliki, Ebonyi State, Nigeria

Cite this paper

Matthew Igwe Nwali, Joseph Agboeze, Onwe Abraham Bong, Obi Vitus Okwuchukwu, Ikeotuonye Arinze C and Ugadu Ikechukwu Ogwudu. Benign Ovarian Tumor: A Diagnostic Dilemma Necessitating Excessive Surgery in a Resource Poor Setting. American Journal of Clinical Medicine Research. 2019; 7(2):60-63. doi: 10.12691/AJCMR-7-2-6

Abstract

Mucinous cystadenomas are benign ovarian tumours which are characteristically slow growing with the propensity to grow up to 70 kilograms in size. It constitutes 10-20% of all epithelial ovarian neoplasms. We present the case of a patient who presenting with features that suggested a malignant ovarian tumour but was later found on histology to be a mucinous cystadenoma. She is a 50 year old Para 7+0 woman with 5 living children, 12 years post-menopausal who presented with abdominal swelling of nine months duration, uterovaginal prolapse of 8 months duration and rectal prolapse of 1 month duration, associated with excessive weight loss, pleural effusion and massive ascites. Ultrasound features suggested a malignant ovarian tumour. She subsequently had exploratory laparotomy with total abdominal hysterectomy, bilateral salpingo-oophorectomy, infracolic omentectomy and appendectomy due to the suspicion of malignancy as we did not have facility for frozen section during the procedure. Histology result subsequently showed she had a mucinous cystadenoma. She did well postoperatively and was followed up subsequently and remained healthy.

Keywords

Benign Ovarian Tumour, Hysterectomy, Salpingectomy, resource poor setting

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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