Delayed diagnosis in a mentally motor-retarded girl: A rare case of giant mucinous cystadenoma

Abstract

This presentation discusses the challenging case of a 15-year-old mentally motor-rarity of mucinous cystadenomas in childhood, with only ten reported cases in the literature. Case Report: We present a 15-year-old MMR girl who has been bedridden since birth. She visited the emergency department three times within two days with complaints of severe vomiting, restlessness, and abdominal swelling. Initially, she was misdiagnosed with constipation and sent home with incorrect treatment. An emergency abdominal CT scan revealed a 13x7x7 cm cystic lesion in the left ovary, filling the abdominal cavity (Figure 1a-e). Left salpingo-oophorectomy was performed, confirming a mucinous cystadenoma (Figure 2,3). Conclusion: This complex case underscores the importance of considering ovarian masses in children with abdominal symptoms and the significance of timely imaging. Careful evaluation and early surgical intervention, ideally at centers equipped for frozen section examinations, are crucial when dealing with medically complex patients like those with MMR.