Anesthetic Management of a Giant Mucinous Cystadenoma of the Ovary

Huge intra-abdominal tumors like mucinous cystadenomas in the ovary exert mechanical compressive effects on the great vessels, solid organs, and bowel. These give rise to numerous anesthetic concerns in the perioperative period, inattention to which can lead to disastrous complications on table. A thorough understanding of the physiological effects and a meticulous management are required to avoid these complications. We have discussed in great detail the anesthetic concerns and the management goals in patients with such complications.