Management of Recurrent Large Bilateral Benign Mucinous Cystadenomas of the Ovary: A Case Report.

Abstract

Background: The recurrence of benign ovarian mucinous cystadenomas is rare, and the presence of these cysts bilaterally is even more uncommon. Overall, 11 cases in our literature review were identified. Of these recurrences, only two cases were bilateral. The management of ovarian cysts in young patients is challenging, especially if they recur. Laparoscopic surgery is the most common intervention for ovarian cysts and a conservative approach using ovarian cystectomy is preferred in women in the reproductive age group.

Case presentation: A 16-year-old nulliparous female was admitted with persistent lower abdominal pain and bloating. A pelvic magnetic resonance imaging showed large bilateral cystic and multiloculated adnexal masses arising from her ovaries. Her tumor markers were normal. The patient underwent three seperate ovarian cystectomies over a seven-year period from the age of sixteen due to recurrent large bilateral benign ovarian mucinous cystadenomas. Repeated histological examinations were the same after each case. Given her age and the history of multiple ovarian surgeries, she was referred to the fertility clinic to explore options for oocyte cryopreservation.

Conclusion: This unusual case of bilateral recurrent benign ovarian mucinous cystadenomas underscores the importance of early laparoscopy and cystectomy as a recommended approach. Postoperative transvaginal ultrasound scans during follow-up may assist in the early detection of recurrence cases. Clinicians should strongly consider referring young patients with a history of repeated adnexal surgeries to infertility treatment centers for fertility preservation.