Preeclampsia is a disorder in pregnancy associated with hypertension, which occurs after 20 weeks of gestation. Mucin ovarian adenoma cysts are rare in adolescence and during pregnancy. A 30-year-old female G4P2A1 patient with severe preeclampsia accompanied by cystic ovarian neoplasms came to the emergency room with an active phase of labor at 32 weeks of gestation, breech presentation, and severe anemia. Blood transfusion, cesarean section, and left salpingo-oophorectomy were performed. The patient's blood pressure returned to normal after two months post-surgery. There is no causative evidence between severe preeclampsia and neoplasm events. It needs optimal supervision in pregnant patients accompanied by gynecological disorders because it has a high risk for a complication such as preeclampsia.