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Published in: BMC Pregnancy and Childbirth 1/2019

Open Access 01-12-2019 | Puerperium | Case report

Diagnosis and management of a giant ovarian cyst in the gravid-puerperium period: a case report

Authors: Sibraogo Kiemtoré, Hyacinthe Zamané, Yobi Alexis Sawadogo, Rodrigue Sansan Sib, Evelyne Komboigo, Ali Ouédraogo, Blandine Bonané

Published in: BMC Pregnancy and Childbirth | Issue 1/2019

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Abstract

Background

Giant ovarian cyst is very rare in gravid-puerperium period. It is a cause of a maternal-fetal morbidity. We report a case of a giant benign ovarian cyst in gravid-puerperium period which was diagnosed and managed in a hospital of a low-resource country.

Case presentation

Data were collected by historical review, clinical examination, laboratory investigations, imaging examination, and by histopathological study of the excised surgical specimen. It is the case of a 25-year-old woman who was third gravida and third para with unknown pathological history. After she had given birth through vagina, a giant ovarian cyst, unknown during pregnancy, was diagnosed. A left oophorectomy carrying the cyst was performed after laparotomy in Yalgado Ouedraogo University Hospital Center of Ouagadougou (Burkina Faso). The cyst was 42 cm long and weighed 19.7 kg. The histology of the operative specimen revealed serous cystadenoma of the ovary. The postoperative course was uneventful.

Conclusion

This case reports that vaginal delivery is possible with a giant ovarian cyst associated with pregnancy. Surgical management of the cyst can be performed in the postpartum with satisfaction.
Literature
1.
go back to reference Schwartz N, Timor-tritsch IE, Wang E. Adnexal masses in pregnancy. Clin Obstet Gynecol. 2009;52(4):570–85.CrossRef Schwartz N, Timor-tritsch IE, Wang E. Adnexal masses in pregnancy. Clin Obstet Gynecol. 2009;52(4):570–85.CrossRef
2.
go back to reference Agah J, Jafarzadeh Esfehani R, Kamalimanesh B, Fattahi Abdizadeh M, Jalilian AR. Mismanagement of a huge ovarian serous cystadenoma in a young girl; a case report. J midwifery Reprod Heal. 2015;3(1):315–7. Agah J, Jafarzadeh Esfehani R, Kamalimanesh B, Fattahi Abdizadeh M, Jalilian AR. Mismanagement of a huge ovarian serous cystadenoma in a young girl; a case report. J midwifery Reprod Heal. 2015;3(1):315–7.
3.
go back to reference De Lima SHM, dos Santos VM, Daros AC, Campos VP, Modesto FRD. A 57-year-old Brazilian woman with a giant mucinous cystadenocarcinoma of the ovary: a case report. J Med Case Rep. 2014;4:82.CrossRef De Lima SHM, dos Santos VM, Daros AC, Campos VP, Modesto FRD. A 57-year-old Brazilian woman with a giant mucinous cystadenocarcinoma of the ovary: a case report. J Med Case Rep. 2014;4:82.CrossRef
4.
go back to reference Bhasin S k, Kumar V, Kumar R. Giant ovarian cyst: a case report. JK Sci. 2014;16:3. Bhasin S k, Kumar V, Kumar R. Giant ovarian cyst: a case report. JK Sci. 2014;16:3.
5.
go back to reference Schemeler K, Mayo-Smith WW, Reipert JF, Weitzen S, Manue IMD, Gordinier ME. Adnexal masses in pregnancy: surgery compared with observation. Obstet Gynecol. 2005;105:1098.CrossRef Schemeler K, Mayo-Smith WW, Reipert JF, Weitzen S, Manue IMD, Gordinier ME. Adnexal masses in pregnancy: surgery compared with observation. Obstet Gynecol. 2005;105:1098.CrossRef
6.
go back to reference Hota BM, Rukmini KR, Basavaih PGC. Giant ovarian cyst in term pregnancy - a rare case report. Bali Med J. 2015;4(1):5–7. Hota BM, Rukmini KR, Basavaih PGC. Giant ovarian cyst in term pregnancy - a rare case report. Bali Med J. 2015;4(1):5–7.
7.
go back to reference Nemec U, Nemec SF, Bettelheim D, Brugger PC, Horcher E, Schöpf V, et al. Ovarian cysts on prenatal MRI. Eur J Radiol. 2012;81(8):1937–44.CrossRef Nemec U, Nemec SF, Bettelheim D, Brugger PC, Horcher E, Schöpf V, et al. Ovarian cysts on prenatal MRI. Eur J Radiol. 2012;81(8):1937–44.CrossRef
8.
go back to reference Mukhopadhyay A, Shinde A, Naik R. Ovarian cysts and cancer in pregnancy. Best Pract Res Clin Obstet Gynaecol. 2016;33:58–72.CrossRef Mukhopadhyay A, Shinde A, Naik R. Ovarian cysts and cancer in pregnancy. Best Pract Res Clin Obstet Gynaecol. 2016;33:58–72.CrossRef
9.
go back to reference Naqvi M, Kaimal A. Adnexal masses in pregnancy. Clin Obstet Gynecol. 2015;58(3):93–101.CrossRef Naqvi M, Kaimal A. Adnexal masses in pregnancy. Clin Obstet Gynecol. 2015;58(3):93–101.CrossRef
10.
go back to reference Casarotto A, Cerofolini A, Denitto F. Mesenteric cyst: case report and review of the literature. G Chir. 2010;31:239e242. Casarotto A, Cerofolini A, Denitto F. Mesenteric cyst: case report and review of the literature. G Chir. 2010;31:239e242.
11.
go back to reference Rossato M, Burei M, Vettor R. Giant mucinous cystadenoma of the ovary mimicking ascites: a case report. Clin Med Rev Case Rep. 2016;3:103.CrossRef Rossato M, Burei M, Vettor R. Giant mucinous cystadenoma of the ovary mimicking ascites: a case report. Clin Med Rev Case Rep. 2016;3:103.CrossRef
12.
go back to reference Elhassan M, S A Khan S, El-Makki A. Giant ovarian cyst masquerading as massive ascites in an 11-year-old. Case Rep Pediatr. 2015;4:5. Elhassan M, S A Khan S, El-Makki A. Giant ovarian cyst masquerading as massive ascites in an 11-year-old. Case Rep Pediatr. 2015;4:5.
13.
go back to reference Kassidi F, Moukit M. Ait El Fadel F, El Hassani M, Guelzim K, Babahabib a, et al. successful management of a giant ovarian cyst: a case report. Austin Gynecol Case Rep. 2017;2:1012–6. Kassidi F, Moukit M. Ait El Fadel F, El Hassani M, Guelzim K, Babahabib a, et al. successful management of a giant ovarian cyst: a case report. Austin Gynecol Case Rep. 2017;2:1012–6.
14.
go back to reference Yeika EV, Efie DT, Tolefac PN, Fomengia JN. Giant ovarian cyst masquerading as a massive ascistes: a case report. BMC Res Notes. 2017;10:749.CrossRef Yeika EV, Efie DT, Tolefac PN, Fomengia JN. Giant ovarian cyst masquerading as a massive ascistes: a case report. BMC Res Notes. 2017;10:749.CrossRef
15.
go back to reference Casanelli JM, Keita M, N’Dri AG, Moussa B, Blegole C, et al. Kyste géant de l’ovaire en Côte d’ivoire. Med Sante Trop. 2010;70:122. Casanelli JM, Keita M, N’Dri AG, Moussa B, Blegole C, et al. Kyste géant de l’ovaire en Côte d’ivoire. Med Sante Trop. 2010;70:122.
16.
go back to reference Qublan H, Al-Ghoweri A, Al-Kaisi N, Abu-Khait S. Benign mucinous cystadenoma with stromal luteinization during pregnancy: a hormonally responsive tumor and a rare cause of fetal intrauterine growth restriction. J Obs Res. 2002;28:104–7. Qublan H, Al-Ghoweri A, Al-Kaisi N, Abu-Khait S. Benign mucinous cystadenoma with stromal luteinization during pregnancy: a hormonally responsive tumor and a rare cause of fetal intrauterine growth restriction. J Obs Res. 2002;28:104–7.
17.
go back to reference Petros M, Koliba P, Sevcík L, Curík R. Giant benign mucinous cystadenoma of both ovaries in early puerperium: case report and review of literature. Cesk Gynekol. 2005;70(2):156–8. Petros M, Koliba P, Sevcík L, Curík R. Giant benign mucinous cystadenoma of both ovaries in early puerperium: case report and review of literature. Cesk Gynekol. 2005;70(2):156–8.
18.
go back to reference Noreen H, Syed S, Chaudhri R, Kahloon L. A large unilocular mucinous cystadenoma in third trimester of pregnancy. J Coll Physicians Surg Pak. 2011;21:426–8.PubMed Noreen H, Syed S, Chaudhri R, Kahloon L. A large unilocular mucinous cystadenoma in third trimester of pregnancy. J Coll Physicians Surg Pak. 2011;21:426–8.PubMed
19.
go back to reference Baradwan S, Sendy F, Sendy S. Giant ovarian cyst in pregnant woman had uncomplicated term vaginal delivery and treated laparoscopically postpartum : a case report. Merit Res J Med Med Sci. 2017;5(8):366–9. Baradwan S, Sendy F, Sendy S. Giant ovarian cyst in pregnant woman had uncomplicated term vaginal delivery and treated laparoscopically postpartum : a case report. Merit Res J Med Med Sci. 2017;5(8):366–9.
20.
go back to reference Rosales AE. Giant ovarian cyst and pregnancy. Case report and literature review. Ginecol Obstet Mex. 2011;79:235–8. Rosales AE. Giant ovarian cyst and pregnancy. Case report and literature review. Ginecol Obstet Mex. 2011;79:235–8.
21.
go back to reference Cheng EJ, Kurman RJ, Wang M, Oldt R, Wang BG, Berman DM, et al. Molecular genetic analysis of ovarian serous cystadenomas. Lab Investig. 2004;84(6):778–84.CrossRef Cheng EJ, Kurman RJ, Wang M, Oldt R, Wang BG, Berman DM, et al. Molecular genetic analysis of ovarian serous cystadenomas. Lab Investig. 2004;84(6):778–84.CrossRef
Metadata
Title
Diagnosis and management of a giant ovarian cyst in the gravid-puerperium period: a case report
Authors
Sibraogo Kiemtoré
Hyacinthe Zamané
Yobi Alexis Sawadogo
Rodrigue Sansan Sib
Evelyne Komboigo
Ali Ouédraogo
Blandine Bonané
Publication date
01-12-2019
Publisher
BioMed Central
Keyword
Puerperium
Published in
BMC Pregnancy and Childbirth / Issue 1/2019
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-019-2678-8

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