International Journal of Clinical & Medical Images

This 46-year-old woman without any systemic disease, she was brought to the ED because of acute right lower abdominal pain for about 2 days. Physical exams showed localized tenderness with muscle guarding over right lower abdomen. KUB revealed a huge soft tissue density in right abdomen and pelvis. Whole abdomen computed tomography revealed a huge cystic tumor (about 25.0cm x 20.3cm x 11.5cm) in pelvis and abdomen cavity with enhanced solid component. She was admitted and for laparotomy, surgical pathologic examination revealed mucinous borderline tumor with focal atypia and extensive necrosis. After surgery, patient’s condition was stable and she was discharged after 7-days admission. Ovarian borderline mucinous cystadenoma are difficult to detect until in advanced size. Most common symptoms are abdominal distention, abdominal pain and even palpable mass, but some patients are asymptomatic. The major complications are torsion and rupture. The golden t gold standard treatment is surgical removal the tumor. A 10-year survival rate for mucinous tumors is excellent without invasion, but is highly dependent on stage and histologic composition.