CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2017; 38(02): 212-214
DOI: 10.4103/ijmpo.ijmpo_2_17
Case Report

Ruptured Malignant Ovarian Tumor in an Adolescent Girl: A Rare Case Report

Kanika Chopra
Department of Obstetrics and Gynaecology, Lady Hardinge Medical College, New Delhi, India
,
Swati Agrawal
Department of Obstetrics and Gynaecology, Lady Hardinge Medical College, New Delhi, India
,
Kiran Aggarwal
Department of Obstetrics and Gynaecology, Lady Hardinge Medical College, New Delhi, India
,
Ratna Biswas
Department of Obstetrics and Gynaecology, Lady Hardinge Medical College, New Delhi, India
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

Germ cell tumors which arise mainly in pediatric and adolescent age group, account for 30% of all ovarian tumors, but constitute only 5% of all malignant ovarian tumors. The presentation is usually insidious with the patient presenting with abdominal swelling and dull aching pain. We report a rare case of a malignant germ cell tumor in a 12-year-old girl who presented with acute abdomen due to spontaneous rupture of tumor resulting in hemoperitoneum. The patient was taken up for emergency laparotomy and left salpingo-opherectomy with omentectomy and drainage of hemoperitoneum was done. The authors conclude that ruptured malignant ovarian tumor should be considered in the differential diagnosis of any young girl presenting with abdominal mass and acute abdominal pain.



Publication History

Article published online:
06 July 2021

© 2017. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Lim FK, Chanrachakul B, Chong SM, Ratnam SS. Malignant ovarian germ cell tumours: Experience in the National University Hospital of Singapore. Ann Acad Med Singapore 1998;27:657-61.
  • 2 Berek SS, Hacker NF. Practical Gynecologic Oncology. 2nd ed. Baltimore: Williams and Wilkins; 1994. p. 377-402.
  • 3 Hudson CN. Recent advance in treatment of ovarian cancer. In: Stallworthy J, Bourne G, editors. Recent Advances in Obstetrics and Gynaecology. 13th ed. Edinburgh: Churchill Livingstone; 1979. p. 277-94.
  • 4 Stepanian M, Cohn DE. Gynecologic malignancies in adolescents. Adolesc Med Clin 2004;15:549-68.
  • 5 Liu H, Wang X, Lu D, Liu Z, Shi G. Ovarian masses in children and adolescents in China: Analysis of 203 cases. J Ovarian Res 2013;6:47.
  • 6 Saha E, Biswas SK, Saha D. Juvenile granulosa cell tumor- A rare presentation. Mediscope 2014;1:36-9.
  • 7 Sunita Sudhir P, Mishra S, Choudary V, Komal. Ruptured malignant germ cell ovarian tumor in a 14 year old girl: A case report. J Evol Med Dent Sci 2014;3:10423-7.
  • 8 Daher AK, Kareem MA, Al Biati RK. Rupture ovarian germ cell tumour. A case report. Med J Babylon 2010;7:589-95.