DOI: 10.36347/sjmcr.2014.v02i03.022

Pages: 179-182

We report a case of ovarian tumor in a 35 year old woman who presented in emergency with acute abdominal pain. She had a history of intermittent abdominal pain and weight loss since 6 months alongwith abdominal distension of 1 month duration. On examination a tender pelvic mass extending upto hypogastrium was palpated. The mass was well defined with restricted mobility mainly on right side of abdomen. Emergency laprotomy was performed which revealed a right sided twisted ovarian cyst ms 20cm in diameter with haemorrhage in the peritoneal cavity. Left ovary also showed presence of cyst 4cm in diameter. Omentum showed firm nodular areas. Both cysts and omental nodules were excised and sent for histopathological examination. Peritoneal fluid was sent for cytological examination as the mass was thought to be malignant. Grossly, the cyst had smooth, deeply congested outer surface. Microscopy revealed benign mucinous cystadenoma ovary with extensive areas of haemorrhage, acute inflammation and formation of cholesterol granulomata. This unusual morphologic entity in ovary is quite rare and hence this case report.