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

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 pr...

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Main Authors: Rajan Gurung, Aishath Azna Ali, Mohd Firdaus Mohd Hayati, Vishnu Vinodhan Rajakumar, Alvin Oliver Payus, Aye Aye Wynn, Nornazirah Azizan, Abdel Mohsen Mohamed Ahmed Abdel Hafez, Bahiyah Abdullah
Format: Article
Language:English
English
Published: Elsevier Ltd 2022
Subjects:
RC581-951 Specialties of internal medicine
Online Access:https://eprints.ums.edu.my/id/eprint/34555/1/FULL%20TEXT.pdf
https://eprints.ums.edu.my/id/eprint/34555/2/ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/34555/
https://www.sciencedirect.com/science/article/pii/S204908012201336X
https://doi.org/10.1016/j.amsu.2022.104576
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spelling my.ums.eprints.345552022-10-28T05:08:50Z https://eprints.ums.edu.my/id/eprint/34555/ Delayed presentation of a huge abdominopelvic mass during the COVID-19 pandemic Rajan Gurung Aishath Azna Ali Mohd Firdaus Mohd Hayati Vishnu Vinodhan Rajakumar Alvin Oliver Payus Aye Aye Wynn Nornazirah Azizan Abdel Mohsen Mohamed Ahmed Abdel Hafez Bahiyah Abdullah RC581-951 Specialties of internal medicine 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. Elsevier Ltd 2022 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/34555/1/FULL%20TEXT.pdf text en https://eprints.ums.edu.my/id/eprint/34555/2/ABSTRACT.pdf 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 https://www.sciencedirect.com/science/article/pii/S204908012201336X https://doi.org/10.1016/j.amsu.2022.104576
institution Universiti Malaysia Sabah
building UMS Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sabah
content_source UMS Institutional Repository
url_provider http://eprints.ums.edu.my/
language English
English
topic RC581-951 Specialties of internal medicine
spellingShingle RC581-951 Specialties of internal medicine
Rajan Gurung
Aishath Azna Ali
Mohd Firdaus Mohd Hayati
Vishnu Vinodhan Rajakumar
Alvin Oliver Payus
Aye Aye Wynn
Nornazirah Azizan
Abdel Mohsen Mohamed Ahmed Abdel Hafez
Bahiyah Abdullah
Delayed presentation of a huge abdominopelvic mass during the COVID-19 pandemic
description 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.
format Article
author Rajan Gurung
Aishath Azna Ali
Mohd Firdaus Mohd Hayati
Vishnu Vinodhan Rajakumar
Alvin Oliver Payus
Aye Aye Wynn
Nornazirah Azizan
Abdel Mohsen Mohamed Ahmed Abdel Hafez
Bahiyah Abdullah
author_facet Rajan Gurung
Aishath Azna Ali
Mohd Firdaus Mohd Hayati
Vishnu Vinodhan Rajakumar
Alvin Oliver Payus
Aye Aye Wynn
Nornazirah Azizan
Abdel Mohsen Mohamed Ahmed Abdel Hafez
Bahiyah Abdullah
author_sort Rajan Gurung
title Delayed presentation of a huge abdominopelvic mass during the COVID-19 pandemic
title_short Delayed presentation of a huge abdominopelvic mass during the COVID-19 pandemic
title_full Delayed presentation of a huge abdominopelvic mass during the COVID-19 pandemic
title_fullStr Delayed presentation of a huge abdominopelvic mass during the COVID-19 pandemic
title_full_unstemmed Delayed presentation of a huge abdominopelvic mass during the COVID-19 pandemic
title_sort delayed presentation of a huge abdominopelvic mass during the covid-19 pandemic
publisher Elsevier Ltd
publishDate 2022
url https://eprints.ums.edu.my/id/eprint/34555/1/FULL%20TEXT.pdf
https://eprints.ums.edu.my/id/eprint/34555/2/ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/34555/
https://www.sciencedirect.com/science/article/pii/S204908012201336X
https://doi.org/10.1016/j.amsu.2022.104576
_version_ 1760231311286468608
score 13.211869

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