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Case 1

A 26 year old primigravida with married life of 9 years and infertility treated from outside came to hospital for first antenatal visit at 7 weeks of gestation. She complained of pain abdomen coupled with distension increasing each day .Ultrasound reported a viable fetus with good cardiac activity and growth with a huge “Cystadenoma of left ovary” measuring 20*20 cms . MRI (Magnetic resonant imaging) reported the same findings. She was admitted in hospital for observation and chemotherapy. Due to excruciating pain she was taken up for laparotomy.

Intraoperatively, to our suprise it was cystadenoma of left ovary along with suspected fallopian tube carcinoma on the right side with a gravid uterus.( image displayed above). Histopathology revealed “Papillary serous cystadenocarcinoma” of left ovary along with “Right tubal papillary adenocarcinoma”. Patient was being treated with 5 cycles of chemotherapy with “Carboplatin and Paclitaxel” and Serial ultrasounds were done. Patient is now at 30 weeks of gestation carrying a healthy fetus inside which has appropriate growth.

Case 2

A 26 year old unmarried girl presented to department of medicine in our hospital in view of severe anemia( haemoglobin:6g/dl ) .She had complaints of heavy menstrual bleeding since 3 months with symptoms of giddiness occasionally. On evaluation she was found to have a huge subserous fibroid (18*18cms) in the fundal region. Even after transfusion of 3 units of blood during her stay in hospital her heavy menstrual bleeding persisted for which she was decided for surgery.

Intraoperatively, there was a huge anterior wall subserous fibroid of 22*20 cms in fundal region of uterus as seen in the image. Myomectomy was done after which hemostasis was achieved by suturing the uterine wall. Intraoperatively 2 units of blood and 2 units of fresh frozen plasma were transfused. The weight of fibroid was “1.8 kg”. Patient is now stable and doing healthy. Image after surgery is pictured below.