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Article

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

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


American Journal of Clinical Medicine Research. 2019, Vol. 7 No. 2, 60-63
DOI: 10.12691/ajcmr-7-2-6
Copyright © 2019 Science and Education Publishing

Cite this paper:
Matthew Igwe Nwali, Joseph Agboeze, Onwe Abraham Bong, Obi Vitus Okwuchukwu, Ikeotuonye Arinze C, 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.

Correspondence to: Matthew  Igwe Nwali, Department of Obstetrics and Gynecology, Federal Teaching Hospital, PMB 102, Abakaliki, Ebonyi State, Nigeria. Email: matthewigwenwali@yahoo.com

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.

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