1. Rupture of a malignant ovarian tumor in pregnancy presenting as acute abdomen.
Ovarian neoplasms in pregnancyare usuallyasymptomatic rarelyleading onto complications
Introduction
A 30-year-old G2 P1+0+0+1 was referred at 30 weeks of pregnancywith an ultrasound diagnosis ofa 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 oftumor markers.She presented a week later with
acute pain abdomen and breathlessness.Clinical examination revealed a relaxed uterus and ultrasound was
suggestive ofrupture of the ovarian cyst. Exploratory laparotomyrevealed a ruptured left mucinous ovarian cyst
with no evidence of solid areas or metastasis.Leftovariotomy with infracolic omentectomyand concurrent
cesarean section was done.A healthy male babyof weight1.880 kg was delivered.Histopathologyrevealed
stage-1c mucinous cystadenocarcinoma ofleft ovary. This was followed-up,with a complete surgerydone after
a month.She is now receiving postoperative chemotherapy.
Conclusions
This is the first reported case of a ruptured malignantovarian tumor in pregnancy.Torsion or rupture of ovarian
masses is an importantdifferential diagnosis ofabdominal or pelvic pain during pregnancy
.
Authors: Malhotra N1, Sumana G, Singh A, Deka D, Mittal S.
Recommended By(co-author):
DR APRAJITA SINGH, MD,DNB,MNAMS
OBSTETRICS & GYNAECOLOGY
Consultant,Director & Founder
Aaditri MultispecialityClinic
R-274,Greater Kailash Part-1,New Delhi 110048 (INDIA)
aaditriclinic@gmail.com +91-11-65658647
Attending Consultant
Indraprastha Apollo Hospitals,New Delhi
https://in.linkedin.com/in/dr-aprajita-singh-md-dnb-mnams-86713749