Giant mucinous cystadenoma of ovary in an adolescent girl: a case report


  • Gaurav Singh Department of Pediatric Surgery, Sir Ganga Ram Hospital, New Delhi, India
  • Anupriya Narain Department of Obstetrics and Gynecology, Lok Nayak Hospital and MAMC, New Delhi, India
  • Shashi Dhawan Department of Pathology, Sir Ganga Ram Hospital, New Delhi, India
  • Rajeev Kulshrestha Department of Pediatric Surgery, Sir Ganga Ram Hospital, New Delhi, India



Adolescent, Abdomen, Laparotomy, Mucinous cystadenoma, Ovary


Ovarian masses are rarer in children and adolescent than adults. Simple ovarian cysts are most common non-neoplastic masses in children. We report this case to emphasize that mass abdomen in adolescents can be missed being asymptomatic. A 16-year-old girl presented intermittent pain abdomen, nausea and decreased appetite for 3 months. Her menstrual cycles were normal and regular. Tumor markers were within normal limits. Exploratory laparotomy with decompression of cyst followed by cystectomy was done. The histopathology revealed the mass to be a mucinous cystadenoma. Post op course was smooth. The patients’ age, size of the cyst and menopausal status of the patient are the important deciding factor in the plan of management. A conservative surgical procedure should be the primary aim in order to preserve patient’s fertility.


Sadeghian N, Sadeghian I, Mirshemirani A, Khaleghnejad Tabari A, Ghoroubi J, Abdollah Gorji F et al. Types and frequency of ovarian masses in children over a 10-year period. Caspian J Intern Med. 2015;6(4):220-3.

Brookfield KF, Cheung MC, Koniaris LG, Sola JE, Fischer AC. A population-based analysis of 1037 malignant ovarian tumors in the pediatric population. J Surg Res. 2009;156:45-9.

Brandt ML, Helmrath MA. Ovarian cysts in infants and children. Semin Pediatr Surg. 2005;14:78-85.

Schultz KA, Sencer SF, Messinger Y, Neglia JP, Steiner ME. Pediatric ovarian tumors: a review of 67 cases. Pediatr Blood Cancer. 2005;44(2):167-73.

Mortell A, Devaney D. Mucinous cystadenoma of the ovary in perimenarchal girls. Pediatr Surg Int. 2006;22:224.

Katke RD, Gohil D. Rupture and torsion of a huge ovarian cyst with ipsilateral para-ovarian cyst presented as haemoperitoneum and acute abdomen: A rare case report and review of literature. Int J Res Health Sci. 2014;2(4):1170-3.

Wootton-Gorges SL, Thomas KB, Harned RK, Wu SR, Wexler SR, Strain JD. Giant cystic abdominal masses in children. Pediatr Radiol. 2005;35(12):1277-88.

Nwobodo EI. Giant mucinous cystadenoma: case report. Niger J Clin Pract. 2010;13(2):228-9.

Hunter DJS. Management of a massive ovarian cyst. Obstet Gynecol. l980;56:254-5.

Aggarwal A, Lucco KL, Lacy J, Kives S, Gerstle JT, Allen L. Ovarian epithelial tumors of low malignant potential: a case series of 5 adolescent patients. J Pediatr Surg. 2009;44(10):2023-7.






Case Reports