Biliary cystadenoma masquerading as an adnexal cyst in pregnancy

The aetiological diagnosis of cystic masses detected on routine ultrasound during pregnancy can be challenging. Unless approached cautiously with a detailed history and adequate use of imaging techniques, misdiagnosis of these cystic masses are not uncommon. Cystic masses diagnosed during pregnancy...

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Published inBMJ case reports Vol. 14; no. 12; p. e246392
Main Authors Raja Navaneethan, Preethi, Abraham, Anuja, Abraham, Kavitha, Jagannathan, Aparna
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 01.12.2021
BMJ Publishing Group
Subjects
Abdomen
Ascites
Asymptomatic
Case Report
Case reports
Cystadenoma - diagnostic imaging
Cystadenoma - surgery
Cysts
Female
Gynecology
Humans
Laparoscopy
Laparotomy
Liver
Liver diseases
Ovaries
Pregnancy
Surgeons
Surgery
Ultrasonic imaging
Ultrasonography
Uterus
gynaecology and fertility
biliary intervention
liver disease
obstetrics
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Summary:The aetiological diagnosis of cystic masses detected on routine ultrasound during pregnancy can be challenging. Unless approached cautiously with a detailed history and adequate use of imaging techniques, misdiagnosis of these cystic masses are not uncommon. Cystic masses diagnosed during pregnancy are mostly of ovarian origin; however, other non-ovarian cystic masses are also detected incidentally or at laparotomy/laparoscopy. We report a rare case of ruptured biliary cystadenoma in a pregnant woman diagnosed at emergency laparotomy. She was taken up for surgery with a provisional impression of ruptured adnexal cyst. However, the cyst was found to be arising from the liver and the histology of the cyst wall was reported as biliary cystadenoma.
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ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2021-246392