ELIMINATING
THE ODD

Diligent intervention by experts removes multiloculated
cyst in a 24-year-old patient

A 24-year-old unmarried girl came to Nanavati Super Speciality Hospital with complaints of pain in the abdomen and gradual distension of abdomen with discomfort. Upon investigation, the abdomen was found to have distended in the past 32 weeks. On further examination, a tense mass was felt in the abdomen area. The patient was sexually not active as well. MRI showed multiloculated cyst arising from the left ovary with cystic components. No ascites and lymph nodes were seen.

After careful examination and arrangement, the patient was prepared for surgery. Laproscope was inserted just below xiphisternum while suction was inserted through another port via the umbilicus. Suction was inserted into the cyst and it was decompressed taking great care to avoid any spillage. After that, Laparoscopic Cystectomy was done, and the cyst was removed through minilap incision using Coviedon Sleeve. The cyst was removed in Toto and send for Holoprosencephaly (HPE). Since the right ovary showed

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a small cyst of about 3 cms, the same was removed and sent for HPE. The HPE results showed Bilateral Borderline Mucinous Tumour of endocervical type. An omental biopsy was taken. The minilap incision was closed, and the patient's post operative recovery was uneventful.

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Dr. Suruchi Desai

Dr. Suruchi Desai
Consultant
Gynaecologist &
Obstetrician
Nanavati Super
Speciality Hospital
Mumbai

Dr. Uddhavraj
Dudheria
Consultant
Gynaecologist &
Obstetrician
Nanavati Super
Speciality Hospital
Mumbai

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