Publication:

A case report of serous cystadenofibroma in pregnancy

The presence of a giant adnexal mass in pregnancy is a very rare occurrence and is usually asymptomatic which is detected incidentally on a routine ultrasound examination of the first trimester or until it reaches a large size and becomes symptomatic. Serous cystadenofibroma is a cystic neoplasm containing fibrous component and ciliated epithelial cells surrounded by clear serous fluid with smooth or papillary surface with abundant vessels.  We present a clinical case of a 24-year-old unbooked second gravida at 40 weeks 3 days who came in labour with a giant tumour of the right ovary. An emergency caesarean section was done followed by right salpingo-oophorectomy. Histopathological examination revealed the mass to be serous cystadenofibroma of the right ovary. We understood that proper antenatal evaluation and strict monitoring of tumour is necessary to decide the time and type of surgical treatment in order to avoid maternal or fetal complications.