Ovarian Serous Cystadenofibroma- A Rare Tumour

Ovarian cystadenofibroma is a relatively rare benign ovarian tumour that contains both epithelial and fibrous stromal components. It is usually seen during the fourth and fifth decades. This tumour has features of malignancy in ultrasound and may also macroscopically appear as malignant during surgery. Since this tumour has a rare malignant potential, it is well-advised to be aware of the possibility of a cystadenofibroma before selecting an aggressive surgical approach in young patients. Ovarian cystadenofibroma is a relatively rare benign tumour that is seen in women aged 15–65 years.[1] The routine imaging features of this tumour may mimic a malignant neoplasm, but the presence of the fibrous component often gives a specific/characteristic MRI appearance that may help differentiate it from malignant ovarian tumours.[2–5]

An unusual case of ruptured noncommunicating rudimentary horn pregnancy at 10 weeks

Unicornuate uterus with noncommunicating rudimentary horn occurs due to incomplete fusion of mullerian ducts. Pregnancy in this horn is a rare phenomenon usually resulting in rupture during second trimester of pregnancy. Prerupture diagnosis of pregnancy in rudimentary horn with ultrasonography is technically difficult, with sensitivity of 30%. We report a case of ruptured non-communicating rudimentary horn at 10 weeks 3 days in a woman. She had a routine USG before pregnancy in which diagnosis was missed. Later she presented to emergency in shock, with massive hemoperitoneum and ruptured horn. So, a high index of suspicion is required to save this catastrophic event and associated maternal morbidity and mortality.