All India Congress of Obstetrics & Gynaecology, 04–08 Jan 2009 · Birla Auditorium, Jaipur

A 45 year old P3L3 came with complaints of pain in abdomen and distension of abdomen since 8 months. She had a regular menstrual history. No familial history of breast cancer or ovarian cancer. On examination, a lump in abdomen arising from pelvis of 28 weeks size with mixed consistency, smooth surface, non-tender and mobile side-to-side. There was no evidence of ascites. Kidney / liver / spleen were not palpable. Per speculum examination was normal. On per vaginal examination, uterus was normal size, anteverted and a mass of 28 weeks was felt. On per rectal examination, there was no nodularity or free fluid in pouch of Douglas.