Large mucinous cystadenoma in pregnancy: a rare case report


  • Varsha Arya Department of Obstetrics and Gynaecology, Health Care Hospital, Mandla, Madhya Pradesh, India
  • Shubhra Mukherjee Department of Obstetrics and Gynaecology, ESIC Model Hospital, Indore, Madhya Pradesh, India



Mucinous cystadenoma, Pregnancy, Laparotomy


Presence of ovarian tumors in pregnancy is uncommon. In most cases, they are benign, torsion is the most common complication. Management can be conservative or surgical depending on the size, clinical presentation, gestational age, available resources etc. advances in imaging techniques have made the decision making easier. We present a case of primigravida aged 24 years, with 18 weeks’ pregnancy with pain in abdomen. She had a large mass arising from the pelvis. Full work up was done. Imaging was suggestive of mucinous cystadenoma with bilateral hydronephrosis due to mass effect. Laparotomy was done and a 20 kg tumor was removed, histopathology confirmed a huge cystadenoma. Patient was discharged in a stable condition. The management of ovarian tumors in pregnancy can be challenging. Although the safety of antepartum surgical intervention is accepted, abdominal surgery will carry some risk to the pregnant woman and the unborn fetus. Surgery becomes necessary in the presence of rupture, torsion or malignancy.


Hermans RHM, Fischer DC, van der Putten HWHM, van de Putte G, Einzmann T, Vos MC, et al. Adnexal masses in pregnancy. Onkologie. 2003;26:167-72.

Dahiya P. Ovarian mass in pregnancy: a case report. Int J Reprod Contracept Obstet Gynecol. 2015;4(3):915-7.

Ioffe OB, Simsir A, Silverberg SG. In: Practical Gynaecologic Oncology. Berek JS, Hacker NF, editor. Lippincott Williams & Wilkins Company. 2000;213-4.

Kamel RM. A massive ovarian mucinous cystadenoma: a case report. Reprod Biol Endocrinol. 2010;8:24.

Rosales Aujang E. Giant ovarian cyst and pregnancy. Case report and literature review. Ginecol Obstet Mex. 2011;79:235-8.

Lee CH, Raman S, Sivanesaratnam V. Torsion of ovarian tumors: a clinicopathological study. Int J Gynaecol Obstet. 1989;28:21-5.

Yen CF, Lin SL, Murk W, Wang CJ, Lee CL, Soong YK, Arici A. Risk analysis of torsion and malignancy for adnexal masses during pregnancy. Fertil Steril. 2009;91(5);1895-902.

Yakasai IA. Diagnosis and Management of Adnexal Masses in Pregnancy; J Surg Tech Case Rep. 2012;4(2):79-85.






Case Reports