Mucinous cystadenomas are among the most common benign ovarian neoplasms. Abdominal cystic tumours are highly prevalent. Due to the availability of superior imaging techniques, they are now diagnosed more commonly and considerably earlier. Over time, these adnexal masses can lead to fatal complications, such as ovarian torsion or haemorrhage. Incidental findings of these tumours are common as many of these patients are asymptomatic. 45-year-old female presented with abdominal distension for 1 year with polymenorrhagia. An exploratory laparotomy relieved a giant tumour weighing of 24.870 kgs drained 30 Litres of serous fluid. Histopathology revealed benign ovarian mucinous cystadenoma. A multidisciplinary approach in the preoperative, intraoperative and postoperative stages of management optimizes patient outcomes.
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