eng Science and Education Publishing American Journal of Clinical Medicine Research 2328-403X 2019-11-15 7 2 60 63 10.12691/ajcmr-7-2-6 AJCMR2019726 article Matthew Igwe Nwali matthewigwenwali@yahoo.com 1 Joseph Agboeze 1 Onwe Abraham Bong 1 Obi Vitus Okwuchukwu 1 Ikeotuonye Arinze C 1 Ugadu Ikechukwu Ogwudu 1 Department of Obstetrics and Gynecology, Federal Teaching Hospital, PMB 102, Abakaliki, Ebonyi State, Nigeria 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. http://pubs.sciepub.com/ajcmr/7/2/6/ajcmr-7-2-6.pdf Benign Ovarian Tumour Hysterectomy Salpingectomy resource poor setting