@article{GPM11544,
author = {Na Guo and Hui Liu},
title = {Secondary umbilical hernia as a rare complication of ovarian borderline mucinous tumor: a case report},
journal = {Gynecology and Pelvic Medicine},
volume = {0},
number = {0},
year = {2026},
keywords = {},
abstract = {Background: Borderline ovarian tumors (BOTs) are common in young women, and preserving fertility is one of the important issues that need to be addressed during the treatment process, rarely occurs umbilical hernia. We reported an umbilical hernia arising from an ovarian borderline mucinous tumor in a 23-year-old woman, few literature is reported about it.Case Description: The 23-year-old young woman reported to our facility with pelvic and abdominal cavity giant tumor, the menstrual cycle was normal, with no significant past medical history, family history, or obstetric history. Six months ago (June 2024), the patient underwent left ovarian cystectomy surgery at other hospital and postoperative pathological examination showed ovarian borderline mucinous tumor. Five months after surgery (November 2024), giant tumor was found in the pelvic and abdominal cavity by ultrasound examination. We found abdominal distension and a jelly-like substance seeping from umbilical hernia. Renal function, liver function, tumor markers were normal. We performed exploratory laparotomy under general anesthesia. Surgical findings revealed gelatinous tumor deposits in the omentum, giant tumor in the pelvic and abdominal cavities originated from the left ovary, the upper boundary reached the xiphoid process, the tumor appears gelatinous mucinous. Due to the patient’s fertility requirements, fertility-sparing surgery was performed, including left adnexectomy, omentectomy, appendectomy, and right ovarian biopsy. Postoperative administration of once hyperthermic intraperitoneal chemotherapy with cisplatin (100 mg). Histopathological examination showed left ovarian borderline mucinous tumor. A 1-year follow-up showed no signs of recurrence.Conclusions: This report highlights a rare umbilical hernia complication of a borderline mucinous tumor in a young patient. Management successfully balanced oncologic principles with fertility preservation through tailored surgery and adjuvant hyperthermic intraperitoneal chemotherapy.},
issn = {2617-4499}, url = {https://gpm.amegroups.org/article/view/11544}
}