Abstract

Introduction: Ovarian cyst is most common problems in women due to changing life style, food habits. Ovarian cyst is closed, sac like structure within the ovary that are filled with a liquid or semi-solid substance. Mucinous cystadenoma of the ovary is at the benign end of the spectrum of mucin-containing epithelial ovarian tumors.

 Method: This case study deals with post- menopausal 70-year lady having chief complaints with a large cystic swelling at all over abdomen and mild pain at lower abdomen, heaviness in abdomen with nausea since 1 year.  After local examination, USG and CT scan reports, provisional diagnosis was made as ovarian Cystadenoma and decided to do exploratory laparotomy. During intra-operative procedure large cyst was noted arising from left ovary with multiple cysts filled with clear fluid in one section. The cyst of 3.7 kg was excised by laparotomy.

Result: A left mucinous cystadenoma was successfully treated by surgical procedure. The patient tolerated the surgery well and recovered without complication. After operation, she returned to her normal activity. No any recurrence was noted during the follow up up to 3 months after surgery.

Conclusion: Differential diagnosis of large mucinous cystadenoma can be mesenteric cyst or hydatid cyst. Conservative management of cystadenoma is depending on the following factors like symptoms, size of cyst, age of patient and menopausal condition of patient hence, exploratory laparotomy is choice of surgery among all surgical advancements for huge mucinous cystadenoma.

Keywords:  ovarian cyst, exploratory laparotomy, mucinous cystadenoma.