Adnexa masses occur in one out of two hundred pregnancies (1). Many are benign ovarian cysts diagnosed in women during antenatal care and managed conservatively with success. Occasionally, ovarian accidents occur that necessitate emergency surgeries. However, in women, unbooked during pregnancy, presentation to hospital may occur for the first time in the puerperium and it may pose a diagnostic challenge. We present the case of a 33-year old multipara who presented with acute abdomen in the puerperium. The initial diagnosis was that of a ruptured uterus until ultrasound scan and intraoperative findings proved otherwise.
Keyword: Acute abdomen, mucinous cystadenoma, ovary, puerperiu
