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Academic Journal of Medicine & Health Sciences, 2023, 4(2); doi: 10.25236/AJMHS.2023.040203.

Giant mucinous cystadenoma of ovary in the pelvic cavity shaped like a turtle shell: case study and literature review


Jiexia Qiu

Corresponding Author:
Jiexia Qiu

Obstetrics and Gynaecology, Zhuji People's Hospital of Zhejiang Province, Shaoxing, China


[Method] To summarize the medical history and imaging features of a case of giant pelvic and abdominal mucinous ovarian cystadenoma shaped like a turtle shell outside the abdomen, so as to improve the ability of early diagnosis and differential diagnosis, prevent serious complications during and after operation, and summarize the surgical treatment experience. Combined with relevant literature reports, the diagnosis and treatment process were optimized. [Results]The patient was in stable condition after surgery and was discharged on the 10th day. Follow-up after discharge showed no recurrence.With the importance of early detection, preoperative evaluation, and multidisciplinary collaboration to reduce intraoperative and postoperative complications, surgical resection is the treatment of choice. Regular postoperative follow-up is helpful for early detection of recurrence.


Ovarian mucinous cystadenoma, Exploratory laparotomy, Laparoscopy, Ovarian neoplasms

Cite This Paper

Jiexia Qiu. Giant mucinous cystadenoma of ovary in the pelvic cavity shaped like a turtle shell: case study and literature review. Academic Journal of Medicine & Health Sciences (2023) Vol. 4, Issue 2: 14-18. https://doi.org/10.25236/AJMHS.2023.040203.


[1] Brown, J., & Frumovitz, M. (2014). Mucinous tumors of the ovary: current thoughts on diagnosis and management. Current oncology reports, 16(6), 389.

[2] Roett, M. A., & Evans, P. (2009). Ovarian cancer: an overview. American family physician, 80(6), 609–616.

[3] Posabella, A., Galetti, K., Engelberger, S., Giovannacci, L., Gyr, T., & Rosso, R. (2014). A huge mucinous cystadenoma of ovarian: a rare case report and review of the literature. Rare tumors, 6(2), 5225.

[4] Kamel R. M. (2010). A massive ovarian mucinous cystadenoma: a case report. Reproductive biology and endocrinology: RB&E, 8, 24.

[5] Torre, L. A., Islami, F., Siegel, R. L., Ward, E. M., & Jemal, A. (2017). Global Cancer in Women: Burden and Trends. Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 26(4), 444–457.

[6] Mounir, B., Anas, E., Yassine, E., Abdelilah, E. B., Khalid, E. H., Bensardi, F., & Abdelaziz, F. (2022). Incidental discovery of a giant ovarian cystadenoma. Annals of medicine and surgery (2012), 82, 104698.

[7] Sami, Z., Watik, F., Harrad, M., Said, H., Mohammed, J., Amine, L., & Said, B. (2022). Mucinous cystadenoma of the ovary in a 15-year-old girl: A case report and review of the literature. International journal of surgery case reports, 100, 107757.

[8] Lertkhachonsuk, A. A., Buranawongtrakoon, S., Lekskul, N., Rermluk, N., Wee-Stekly, W. W., & Charakorn, C. (2020). Serum CA19-9, CA-125 and CEA as tumor markers for mucinous ovarian tumors. The journal of obstetrics and gynaecology research, 46(11), 2287–2291.

[9] Borgfeldt, C., & Andolf, E. (1999). Transvaginal sonographic ovarian findings in a random sample of women 25-40 years old. Ultrasound in obstetrics & gynecology: the official journal of the International Society of Ultrasound in Obstetrics and Gynecology, 13(5), 345–350.

[10] Marko, J., Marko, K. I., Pachigolla, S. L., Crothers, B. A., Mattu, R., & Wolfman, D. J. (2019). Mucinous Neoplasms of the Ovary: Radiologic-Pathologic Correlation. Radiographics: a review publication of the Radiological Society of North America, Inc, 39(4), 982–997.

[11] Hoile R. W. (1976). Hazards in the management of large intra-abdominal tumours. Annals of the Royal College of Surgeons of England, 58(5), 393–397.

[12] Poulias, G. E., & Prombonas, E. (1974). Massive unilateral pulmonary oedema as a rapid re-expansion sequel (the post-expansion syndrome). Report of a case and review of the literature. Scandinavian journal of thoracic and cardiovascular surgery, 8(1), 67–69.

[13] Ohira, S., Hayashi, A., Kitano, R., Tanaka, K., & Kitamura, F. (2022). A Recurrent Mucinous Neoplasm Originating From an Ovarian Mucinous Cystadenoma After an Adnexectomy As the First Procedure: A Case Report. Cureus, 14(11), e31258.

[14] El-Agwany A. S. (2018). Recurrent Bilateral Mucinous Cystadenoma: Laparoscopic Ovarian Cystectomy with Review of Literature. Indian journal of surgical oncology, 9(2), 146–149.

[15] Fujishima, A., Kumazawa, Y., Togashi, K., Shirasawa, H., Sato, W., & Terada, Y. (2021). A case of ovarian mucinous cystadenoma in a child that recurred 1 year after surgery. International journal of surgery case reports, 83, 106006.

[16] Mittal, S., Gupta, N., Sharma, A. K., & Dadhwal, V. (2008). Laparoscopic management of a large recurrent benign mucinous cystadenoma of the ovary. Archives of gynecology and obstetrics, 277(4), 379–380.

[17] Baradwan, S., Sendy, F., & Sendy, S. (2017). Complete Laparoscopic Extirpation of a Giant Ovarian Cyst in an Adolescent. Case reports in obstetrics and gynecology, 2017, 7632989.

[18] Nowak, A., Soja, M., Masternak, M., Mokros, Ł., Wilczyński, J., & Szubert, M. (2019). Evaluation of adnexal tumours in the International Ovarian Tumor Analysis system in reference to histopathological results. Przeglad menopauzalny = Menopause review, 18(3), 141–145.

[19] Akhras, L. N., Akhras, L. N., Faroog, S., & AlSebay, L. (2019). A 27-kg Giant Ovarian Mucinous Cystadenoma in a 72-Year-Old Postmenopausal Patient: A Case Report. The American journal of case reports, 20, 1601–1606.

[20] Rouzbahman, M., & Chetty, R. (2014). Mucinous tumours of appendix and ovary: an overview and evaluation of current practice. Journal of clinical pathology, 67(3), 193–197.

[21] Ronnett, B. M., Kajdacsy-Balla, A., Gilks, C. B., Merino, M. J., Silva, E., Werness, B. A., & Young, R. H. (2004). Mucinous borderline ovarian tumors: points of general agreement and persistent controversies regarding nomenclature, diagnostic criteria, and behavior. Human pathology, 35(8), 949–960.