A 52-year-old women with recurrent mucinous ovarian adenocarcinoma stage IIIC came to the hospital with mass in abdomen (Fig. 1). CT scan showed accumulation of mucinous fluid and incisional hernia. Surgery was performed, 21 litres mucinous fluid was evacuated (Fig. 2), peritoneal pocket was found and removed (Figs. 3, 4, 5). The patient recovered well and was discharged from the hospital on day seven after surgery. One month after surgery, patient visited emergency room with complaints of breathlessness. Chest X-ray showed bilateral pneumonia with Covid-19 disease. Patient succumbed due to worsening of the disease.

Fig. 1
figure 1

Enlarged abdomen filled with mucinous fluid

Fig. 2
figure 2

Twenty one liters of mucinous fluid was evacuated

Fig. 3
figure 3

The peritoneal pockets were also filled with mucinous fluid

Fig. 4
figure 4

Peritoneal pockets were removed

Fig. 5
figure 5

The abdomen was closed. Two drains were attached