Laparoscopic management of a rare case of a giant ovarian mucinous cystadenoma occupying the entire abdominopelvic cavity: A case report

Abstract

Ovarian mucinous cystadenoma represents 15-20% of all ovarian epithelial tumors. They have good prognoses. In developed countries, giant ovarian mucinous cystadenoma is rarely reported due to the availability of advanced imaging technologies that enable early diagnosis and treatment. Late medical consultation and limited resources in African countries lead to late diagnosis of giant ovarian cysts. Only a few cases of laparoscopic management of massive ovarian cysts have been reported in the medical literature. We present the case of a 64-year-old black African patient with intestinal transit disorders who complained of progressive abdominal distension for 2 years. An enhanced abdominopelvic computed tomography scan revealed a giant ovarian cyst occupying the entire abdominopelvic cavity, which was approximately 55 cm wide. Laparoscopic right salpingo-oophorectomy was performed after the cyst was aspirated without spilling its contents into the peritoneal cavity. The patient’s postoperative recovery was uneventful, and she was discharged on postoperative day 2. We present the case of a 64-year-old black African patient who complained of progressive abdominal distension for 2 years with intestinal transit disorders. An enhanced abdominopelvic CT scan revealed a giant ovarian cyst occupying the entire abdominopelvic cavity, which was approximately 55 cm wide. We performed a laparoscopic right salpingo-oophorectomy after aspirating the cyst without spilling its contents into the peritoneal cavity. The postoperative recovery of the patient was uneventful and she was discharged on the second postoperative day.