{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T12:53:54Z","timestamp":1787921634100,"version":"build-2784847793"},"reference-count":7,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,12,5]]},"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:p>Ovarian cysts exhibit variable clinical presentations depending on their size, type and resulting sequelae. Rupture of ovarian cysts is infrequent, and cyst infections are even rarer. Here, we report an unusual case involving a young, non-pregnant woman who presented acutely with features of peritonitis and sepsis and was found to have a complex adnexal mass. Following a rigorous diagnostic evaluation, which included an urgent exploratory laparotomy and salpingo-oophorectomy, common diagnoses including tubo-ovarian abscess, endometriotic cyst and pelvic tuberculosis were ruled out. Instead, she was diagnosed with an ovarian mucinous cystadenoma that had become infected, possibly due to pelvic inflammatory disease, leading to spontaneous rupture. Such a presentation has rarely been reported, especially in a non-pregnant setting. Therefore, we emphasise the importance of considering this rare complication as a potential differential diagnosis in similar clinical presentations and discuss the management implications, including the importance of adequately treating pelvic inflammatory disease.<\/jats:p>","DOI":"10.1136\/bcr-2022-253329","type":"journal-article","created":{"date-parts":[[2023,12,19]],"date-time":"2023-12-19T12:40:16Z","timestamp":1702989616000},"page":"e253329","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["A rare case of infection and spontaneous rupture in ovarian mucinous cystadenoma"],"prefix":"10.1136","volume":"16","author":[{"given":"Seema","family":"Sheokand","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecology, Post Graduate Institute of Medical Education and Research, Chandigarh, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5076-6686","authenticated-orcid":false,"given":"Sujata","family":"Siwatch","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, Post Graduate Institute of Medical Education and Research, Chandigarh, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reetu","family":"Kundu","sequence":"additional","affiliation":[{"name":"Pathology, Post Graduate Institute of Medical Education and Research, Chandigarh, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradip Kumar","family":"Saha","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, Post Graduate Institute of Medical Education and Research, Chandigarh, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,12,19]]},"reference":[{"key":"2025082709003321000_16.12.e253329.1","first-page":"73","article-title":"A rare case of de novo gigantic ovarian abscess within an endometrioma","volume":"83","author":"Hameed","year":"2010","journal-title":"Yale J BiolMed"},{"key":"2025082709003321000_16.12.e253329.2","doi-asserted-by":"crossref","first-page":"867","DOI":"10.1007\/s00404-009-1165-2","article-title":"Pelvic-peritoneal tuberculosis simulating peritoneal carcinomatosis: high clinical suspicion and a minimally invasive procedure","volume":"280","author":"Adali","year":"2009","journal-title":"Arch Gynecol Obstet"},{"key":"2025082709003321000_16.12.e253329.3","doi-asserted-by":"crossref","unstructured":"Tewari M , Sahoo SP , Shukla HS . Abdominal tuberculosis. In: Tuberculosis. 2nd edn. India: Jaypee Brothers Medical Publishers, 2009: 288. doi:10.5005\/jp\/books\/10992","DOI":"10.5005\/jp\/books\/10992_19"},{"key":"2025082709003321000_16.12.e253329.4","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1007\/s00404-009-1294-7","article-title":"Rupture of a malignant ovarian tumor in pregnancy presenting as acute abdomen","volume":"281","author":"Malhotra","year":"2010","journal-title":"Arch Gynecol Obstet"},{"key":"2025082709003321000_16.12.e253329.5","doi-asserted-by":"crossref","first-page":"39","DOI":"10.2298\/AOO1102039M","article-title":"Spontaneous rupture of malignant ovarian cyst in 8-gestation-week pregnancy - a case report and literature review","volume":"19","author":"Mladenovic-Segedi","year":"2011","journal-title":"Arch Oncol"},{"key":"2025082709003321000_16.12.e253329.6","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.1016\/0002-9378(49)90664-X","article-title":"Spontaneous rupture of a primary carcinoma of the ovary complicating pregnancy","volume":"57","author":"Daro","year":"1949","journal-title":"Am J Obstet Gynecol"},{"key":"2025082709003321000_16.12.e253329.7","doi-asserted-by":"crossref","first-page":"416","DOI":"10.11150\/kansenshogakuzasshi1970.66.416","article-title":"Abscess formation complicated in ovarian mucinous cystadenoma: a case report","volume":"66","author":"Hsueh","year":"1992","journal-title":"Kansenshogaku Zasshi"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-253329","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:00:39Z","timestamp":1756310439000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-253329"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":7,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2023,12,19]]},"published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1136\/bcr-2022-253329"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-253329","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12]]}}}