Document Detail

Rupture of a malignant ovarian tumor in pregnancy presenting as acute abdomen.
MedLine Citation:
PMID:  19949808     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Ovarian neoplasms in pregnancy are usually asymptomatic rarely leading onto complications. A 30-year-old G2 P1+0+0+1 was referred at 30 weeks of pregnancy with an ultrasound diagnosis of a large multicystic ovarian cyst with no solid areas, ascites or evidence of metastasis. Antenatal corticosteroid was administered and she was advised to follow-up with reports of tumor markers. She presented a week later with acute pain abdomen and breathlessness. Clinical examination revealed a relaxed uterus and ultrasound was suggestive of rupture of the ovarian cyst. Exploratory laparotomy revealed a ruptured left mucinous ovarian cyst with no evidence of solid areas or metastasis. Left ovariotomy with infracolic omentectomy and concurrent cesarean section was done. A healthy male baby of weight 1.880 kg was delivered. Histopathology revealed stage-1c mucinous cyst adenocarcinoma of left ovary. This was followed-up, with a complete surgery done after a month. She is now receiving postoperative chemotherapy.
CONCLUSION: This is the first reported case of a ruptured malignant ovarian tumor in pregnancy. Torsion or rupture of ovarian masses is an important differential diagnosis of abdominal or pelvic pain during pregnancy.
Neena Malhotra; Gurunath Sumana; Aprajita Singh; Deepika Deka; Suneeta Mittal
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-12-01
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  281     ISSN:  1432-0711     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-05     Completed Date:  2010-06-29     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  959-61     Citation Subset:  IM    
Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.
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MeSH Terms
Abdomen, Acute / etiology*,  pathology,  surgery
Adenocarcinoma, Mucinous / complications*,  pathology,  surgery
Infant, Newborn
Ovarian Neoplasms / complications*,  pathology,  surgery
Ovary / pathology*
Pregnancy Complications, Neoplastic / pathology*,  surgery
Rupture, Spontaneous

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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