Removal of enormous bilateral mucinous cystadenomas of the ovaries with abdominal plastic reconstruction

Hackethal, Andreas; Brueggmann, Doerthe; Turovets, Maxim; Bassaly, Birgit; Stein, A.; Gerber, Eva-Louise; Muenstedt, Karsten

doi:10.1007/s00404-008-0634-3

Cited by 9 publications

(4 citation statements)

References 8 publications

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“…A review of 20 cases with lesions exceeding 20 kg confirmed a low malignancy rate [2]. Other authors also concur, stating that huge intra-abdominal tumors that almost double a patient’s body weight can hardly be malignant [13].…”

Section: Discussionmentioning

confidence: 99%

“…Postoperatively, reducing ileus, providing respiratory support, supporting abdominal wall tension, and monitoring hemodynamic parameters are key [2]. After tumor excision, an abdominal wall reconstruction might be necessary because of the laxity and redundancy of the skin [13]. We planned reconstructive surgery of the anterior abdominal wall after initial postoperative recovery because the patient was unstable at primary surgery.…”

Section: Discussionmentioning

confidence: 99%

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Giant mucinous cystadenoma: a case report

Gwanzura¹,

Muyotcha²,

Magwali³

et al. 2019

J Med Case Reports

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Introduction Giant ovarian cysts are rarely described in the literature, owing to the availability of advanced imaging technologies in developed countries leading to early treatment. In resource-limited settings, various factors lead to late presentation. Case presentation We present a case of a 48-year-old black African woman with a giant mucinous cystadenoma who presented to a tertiary hospital with massive abdominal distention 5 years after being referred from a district hospital for the same problem. Surgical management resulted in fatal complications. Conclusions The surgical management of these huge tumors is associated with many life-threatening complications. Transvaginal ultrasound should be used in resource-limited settings to delineate ovarian masses. Community health workers must be involved in scouting and follow up of community members with unusual abdominal swellings in developing countries to avoid delays in care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Giant mucinous cystadenoma: a case report

Gwanzura¹,

Muyotcha²,

Magwali³

et al. 2019

J Med Case Reports

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“…16,17 Paracentesis in these settings carries increased peritoneal risks and complications. 18,19 Imaging studies (ultrasound, CT scanning, and/or magnetic resonance imaging [MRI]), therefore, are important for establishing the diagnosis and, in addition, may reveal additional findings, such as the presence of a displaced bowel, fluid levels, or a pseudocyst with clear borders (sometimes with endocystic partitions and vegetations).…”

Section: Discussionmentioning

confidence: 99%

Management of Giant Ovarian Cysts: A Review of 5 Case Reports

DiopBalla

Mansour²,

Abdoulaye

et al. 2016

Journal of Gynecologic Surgery

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Background: Articles on giant ovarian cysts have become less common in medical literature. These cysts mimic ascites, presenting with abdominal distension and shifting dullness. They are predominantly serous and mucinous cystadenomas. Rare cases of low-grade of malignant tumors and adenocarcinomatous ovarian cysts have been reported. Materials and Methods: This was a retrospective descriptive study of 5 cases recruited between 2009 and 2012. The selected patients had large ovarian cysts extending to the epigastric region. Solid, mixed, or predominantly solid ovarian cysts were excluded from the study. Results: The mean age of the patients was 28, with extremes of ages 22 and 39. Ascites was detected clinically with transabdominal fluid thrills in all cases. Cysts were unilocular in 4 cases and multilocular in 1 case. Oophorectomy and salpingectomy were performed without preoperative drainage. Histology testing showed serous cystadenoma in 4 cases and mucinous low-grade adenocarcinoma in 1 case. The average follow-up time was 54 months. No recurrences were observed. Conclusions: Imaging (ultrasound, computed tomography, and/or magnetic resonance imaging) is paramount for planning management of giant ovarian cysts as imaging facilitates the distinction between ascites and pseudoascites as well as the identification of any suspicious features of malignancy (multiple partitions, and endo-or exocystic vegetations). Complete excision without opening the cyst is the procedure of choice. ( J GYNECOL SURG 32:162)

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“…Most of the reported cases of huge ovarian mass are benign, mucinous cystadenoma [ Table 1 ]. [ 3 4 5 6 7 8 9 ] It is quite uncommon for a malignant ovarian tumor to be presented as a huge abdominal mass; primary care physicians should be vigilant not to miss an ovarian malignancy as one of the possible causes and should not delay referral to the gynecologist or oncologist.…”

Section: Introductionmentioning

confidence: 99%