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Rare disease
Case report
Malignant Brenner tumour of the ovary manifesting as distal intestinal obstruction and perforation
  1. Brijesh Kumar Singh1,
  2. Sudipta Saha2,
  3. Shilpi Agarwal3 and
  4. Yashwant Singh Rathore1
  1. 1Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India
  2. 2Surgery, Lady Hardinge Medical College, New Delhi, India
  3. 3Pathology, Lady Hardinge Medical College, New Delhi, India
  1. Correspondence to Dr Yashwant Singh Rathore; dryashvant.r{at}gmail.com

Abstract

A rare case of malignant Brenner tumour of ovary manifesting with intestinal perforation due to colonic infiltration is elaborated in the present report. Brenner’s tumour accounts for 1%–2% of all ovarian neoplasms and malignant Brenner tumour is even rarer and only about 5% of Brenner tumours are malignant. A 62-year-old woman came to surgical emergency with 1-month history of abdominal pain, vomiting and constipation with a palpable mass in right iliac fossa. Abdominal radiograph was suggestive of colonic obstruction. Contrast-enhanced CT of the abdomen revealed cystic right ovarian mass of 10.2×8.8 cm2 with pneumoperitoneum. Exploratory laparotomy was done, which revealed mass arising from right ovary involving terminal ileum, cecum and ascending colon. Possibility of ovarian malignancy was kept. Patient underwent debulking surgery along with ileostomy and descending colon mucous fistula was created. Histology was compatible with malignant Brenner tumour of the ovary.

  • gynecological cancer
  • gastrointestinal surgery

http://dx.doi.org/10.1136/bcr-2020-235394

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    Footnotes

    • Contributors BKS and SS diagnosed and managed the case. SA reported the histopathology. YSR wrote the initial manuscript. All the authors critically evaluated the content and approved the final manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.