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Early identification and timely surgical management are emphasized to reduce the risk of complications, often involving salpingo-oophorectomy. The report highlights the need for heightened awareness among pediatric healthcare providers to support accurate diagnosis and appropriate treatment planning.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/rapidly-growing-mucinous-cystadenoma-in-a-13-year-old-premenarchal-female-a-case-report/419765/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/rapidly-growing-mucinous-cystadenoma-in-a-13-year-old-premenarchal-female-a-case-report/419765.png","ImageObject",300,407,{"name":92,"@type":93},"Mary Man","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why is early recognition important for mucinous cystadenoma in premenarchal girls?","Question",{"text":112,"@type":113},"Early recognition enables timely surgical intervention, which helps prevent complications associated with rapidly growing abdominal masses and obstructive symptoms.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What symptoms prompted the emergency visit in the case report?",{"text":117,"@type":113},"The patient presented with rapidly progressive abdominal enlargement over about 20 days, with a marked increase in size in the days immediately before presentation, along with fever, right lower quadrant pain, and severe constipation.",{"name":119,"@type":110,"acceptedAnswer":120},"What treatment was performed after imaging and surgical evaluation?",{"text":121,"@type":113},"A midline incision laparotomy was performed, a large cystic mass originating from the right ovary was identified, and a complete right salpingo-oophorectomy was carried out.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},419765,1790820616,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":52,"preview_page_count":4},7421720224475,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Clinical Case Reports  \nCASE REPORT  OPEN ACCESS   \nRapidly Growing Mucinous Cystadenoma in a 13-Year-Old Premenarchal Female: A Case Report  \nZeina Marzouk1 | Ayham Maidaa2 | Mohammad Obada Alsadi1  | Rabwa Ibrahim3 | Basil Daradkeh4 | Haneen Hussin5 | Khaledah Aladwan6 | Husam Dalati2  \n1Faculty of Medicine, Damascus University, Damascus, Syrian Arab Republic | 2Children's University Hospital, Damascus, Syrian Arab  \nRepublic | 3Faculty of Medicine, The National Ribat University, Khartoum, Burri, Sudan | 4Faculty of Medicine, Jordan University of Science and  \nTechnology, Irbid, Jordan | 5Faculty of Medicine, Tishreen University, Latakia, Syrian Arab Republic | 6University of Pecs Medical School, Pecs, Hungary Correspondence: Mohammad Obada Alsadi ([obadaalsadi7@gmail.com](obadaalsadi7@gmail.com))  \nReceived: 29 June 2025 | Revised: 18 December 2025 | Accepted: 21 December 2025  \nKeywords: CA-125 | mucinous cystadenomas | ovarian tumors | pediatric | premenarchal  \n\n| ABSTRACT\u003Cbr>Mucinous cystadenomas are rare ovarian tumors in premenarchal girls but can present as rapidly growing large abdominal masses causing obstructive symptoms. Early recognition and timely surgical intervention, often requiring salpingo-oophorectomy, are crucial to prevent complications. Awareness among pediatric healthcare providers is essential for accurate diagnosis and management. |  |\n| --- | --- |\n| 1 | Introduction | ovary-conserving techniques in the surgical management of benign adnexal disease [5] . |\n| Tumors of the ovaries can be categorized as epithelial (cystadenoma, borderline cystadenoma, and cystadenocarcinoma), stro- | Hemorrhage, torsion, and rupture are the most frequent compli- |\n| mal (granulosa-theca, Sertoli, and Leydig cells), and germ cell (undifferentiated and extraembryonic) [1] . | cations of benign ovarian cysts [4] . |\n| Mucinous Cystadenomas (MCAs) make up 10%–15% of all ovarian tumors [2] . | 2 | Case Report |\n|  | A 13-year-old female was brought to the emergency depart- |\n| MCAs are tumors that are lined by mucin-producing epithelial | ment complaining of rapidly progressive abdominal enlarge- |\n| cells. They are typically unilateral (bilaterality is only seen in about 5%–10% of cases) with an average size of 10 cm; in rare | ment (noted over the last 20 days), with a marked increase in size over the last 3 days before presentation. This acute presen- |\n| cases, however, they can grow to exceed 30 cm. MCAs are most | tation likely represents a complication of a pre-existing lesion. |\n| common in people between the ages of 45 and 65 years and are | The patient also had fever, right lower quadrant pain, and severe |\n| rarely seen in children and adolescents [1–4] . | constipation. |\n| Different abdominal masses and their characteristics can be dis- | Upon examination, the patient appeared dehydrated, with a dis- |\n| tinguished with the use of imaging techniques of the abdomen, | tended abdomen and full flanks but no organomegaly. A digital |\n| such as CT, ultrasonography, or magnetic resonance imaging [1] . | rectal examination revealed no tenderness or visible mass. |\n| While unilateral salpingo-oophorectomy (USO) via laparotomy | Our patient was previously healthy, with no history of major ill- |\n| is currently the standard of care for benign MCAs, numerous | ness or surgical operations. Crucially, the patient and her par- |\n| studies have demonstrated the benefits and effectiveness of | ents denied any prior history of chronic or intermittent lower |\n| This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.\u003Cbr>© 2026 The Author(s). Clinical Case Reports published by John Wiley & Sons Ltd. |  |\n\nClinical Case Reports, 2026; 14:e71805 1 of 4  \n[https://doi.org/10.1002/ccr3.71805](https://doi.org/1","cbCain80SL8oES5i","https://ap.wps.com/l/cbCain80SL8oES5i","pdf",546105,"English","# Introduction\n# Case Report\n## Investigations and Treatment","[{\"question\":\"Why is early recognition important for mucinous cystadenoma in premenarchal girls?\",\"answer\":\"Early recognition enables timely surgical intervention, which helps prevent complications associated with rapidly growing abdominal masses and obstructive symptoms.\"},{\"question\":\"What symptoms prompted the emergency visit in the case report?\",\"answer\":\"The patient presented with rapidly progressive abdominal enlargement over about 20 days, with a marked increase in size in the days immediately before presentation, along with fever, right lower quadrant pain, and severe constipation.\"},{\"question\":\"What treatment was performed after imaging and surgical evaluation?\",\"answer\":\"A midline incision laparotomy was performed, a large cystic mass originating from the right ovary was identified, and a complete right salpingo-oophorectomy was carried out.\"}]","Rapidly Growing Mucinous Cystadenoma in a 13-Year-Old Premenarchal Female - A Case Report | PDF",1790618269]