Giant Borderline Mucinous Cystadenoma: Hazards of Surgical Debulking

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 areas patients may present late due to financial and social constraints.

Through this case, we aim to discuss the importance of early diagnosis and appropriate management of giant benign tumours and highlight the management related issues.

We are reporting a rare case of a very large giant ovarian cystadenoma who presented to a tertiary care hospital with large abdominal mass of benign nature with poor functional status.

She underwent laparotomy proceed debulking of an enormous cyst with 36 litres of mucinous fluid whose postoperative biopsy was reported as a borderline ovarian tumour. Her intraoperative management and fluid management was a challenge for the anaesthetist. She developed pulmonary embolism in her postoperative period requiring intensive care.

Through this case report, we would like to highlight the importance of a multidisciplinary team in managing such complex cases with perioperative morbidity. Early diagnosis and appropriate measure in time to handle complications are beneficial to these patients with good survival.