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Multicystic Benign Mesothelioma Complicating Pregnancy

V A Tamhankar1

  • 1Department of Obstetrics and Gynaecology, Jessop Wing, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S10 2SF, UK.

Case Reports in Obstetrics and Gynecology
|September 9, 2015
PubMed

Insights

Multicystic benign mesothelioma (MBM), a rare peritoneal condition, can cause acute pain during early pregnancy. Surgical resection proved a successful treatment, allowing the pregnancy to continue to term without recurrence.

Area of Science:

  • Gynecology
  • Surgical Pathology
  • Reproductive Medicine

Background:

  • Multicystic benign mesothelioma (MBM) is a rare peritoneal tumor.
  • MBM predominantly affects women of reproductive age.
  • MBM lesions, while benign, have a propensity for recurrence and may be influenced by estrogen receptors.

Purpose of the Study:

  • To report a rare case of MBM presenting with acute pain in early pregnancy.
  • To discuss management options for MBM during pregnancy.
  • To highlight the successful surgical treatment and pregnancy outcome.

Main Methods:

  • Case report of a pregnant patient with acute abdominal pain.
  • Diagnostic evaluation including imaging and surgical exploration.
  • Surgical resection of the MBM lesion.
  • Post-operative monitoring throughout pregnancy and delivery.

Main Results:

  • A case of MBM presenting acutely in early pregnancy was successfully diagnosed and treated.
  • Surgical resection of the MBM was performed without complications.
  • The pregnancy progressed uneventfully to term.
  • No evidence of MBM recurrence was noted during Cesarean section.

Conclusions:

  • Surgical resection is a viable and effective treatment for multicystic benign mesothelioma presenting during pregnancy.
  • Prompt diagnosis and management can lead to favorable outcomes for both mother and fetus.
  • Further research is needed to establish definitive management guidelines for MBM in pregnancy.

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