A rare case of infection and spontaneous rupture in ovarian mucinous cystadenoma.
BMJ Case Rep
; 16(12)2023 Dec 19.
Article
in En
| MEDLINE
| ID: mdl-38114297
ABSTRACT
Ovarian cysts exhibit variable clinical presentations depending on their size, type and resulting sequelae. Rupture of ovarian cysts is infrequent, and cyst infections are even rarer. Here, we report an unusual case involving a young, non-pregnant woman who presented acutely with features of peritonitis and sepsis and was found to have a complex adnexal mass. Following a rigorous diagnostic evaluation, which included an urgent exploratory laparotomy and salpingo-oophorectomy, common diagnoses including tubo-ovarian abscess, endometriotic cyst and pelvic tuberculosis were ruled out. Instead, she was diagnosed with an ovarian mucinous cystadenoma that had become infected, possibly due to pelvic inflammatory disease, leading to spontaneous rupture. Such a presentation has rarely been reported, especially in a non-pregnant setting. Therefore, we emphasise the importance of considering this rare complication as a potential differential diagnosis in similar clinical presentations and discuss the management implications, including the importance of adequately treating pelvic inflammatory disease.
Key words
Full text:
1
Collection:
01-internacional
Health context:
3_ND
Database:
MEDLINE
Main subject:
Ovarian Cysts
/
Ovarian Neoplasms
/
Pelvic Inflammatory Disease
/
Cystadenoma, Mucinous
/
Cysts
/
Fallopian Tube Diseases
Limits:
Female
/
Humans
Language:
En
Journal:
BMJ Case Rep
Year:
2023
Document type:
Article