Delayed presentation of a huge abdominopelvic mass during the COVID-19 pandemic

Rajan Gurung and Aishath Azna Ali and Mohd Firdaus Mohd Hayati and Vishnu Vinodhan Rajakumar and Alvin Oliver Payus and Aye Aye Wynn and Nornazirah Azizan and Abdel Mohsen Mohamed Ahmed Abdel Hafez and Bahiyah Abdullah (2022) Delayed presentation of a huge abdominopelvic mass during the COVID-19 pandemic. Annals of Medicine and Surgery, 82 (104576). pp. 1-5. ISSN 2049-0801

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Abstract

Background: Giant ovarian cysts are rare in developed countries due to advanced achievements in medical diagnostics. However, in the midst of the coronavirus disease 2019 (COVID-19) pandemic, patients with non-COVID-19-related illnesses tend to delay their health-seeking attention; thus, they had presented late. Case presentation: A 25-year-old single lady complained of a 3-month worsening abdominal pain and distention. She was initially well but neglected the symptoms due to the COVID-19 situation, yet came to our attention after she developed obstructive symptoms. A computed tomography (CT) scan of the abdomen revealed a huge cystic lesion from the pelvic area, which later was found to be from the right ovary upon urgent laparotomy exploration. The histopathological examination was consistent with mucinous cystadenoma of the ovary. Discussion: Acute non-COVID-19-related emergencies have decreased, as evidenced by reduced visits to the Emergency Department, and the number of abdominal CT scans. An emergency case like a huge abdominopelvic mass deserves an extensive radiologic examination as clinical assessment alone may not be adequate. Preoperative CT is superior to ultrasonography in getting the extent of the lesion, local infiltration, staging purpose, and surgical intervention. Pathology with a variety of spectrums such as mucinous neoplasm deserves to be investigated, evaluated, and resected even during the COVID-19 pandemic. Conclusion: A giant abdominopelvic cystic mass can present emergency havoc during the COVID-19 pandemic. Urgent surgical intervention is mandatory by using full protection and exercising extreme precaution, regardless of the preoperative screening to avoid unnecessary viral transmissions.

Item Type:	Article
Keyword:	Abdominal neoplasms , Covid-19 , Critical care , Mucinous cystadenoma , Pandemic
Subjects:	R Medicine > RC Internal medicine > RC31-1245 Internal medicine > RC581-951 Specialties of internal medicine
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	SAFRUDIN BIN DARUN -
Date Deposited:	28 Oct 2022 13:08
Last Modified:	28 Oct 2022 13:08
URI:	https://eprints.ums.edu.my/id/eprint/34555

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