A Rare Case of “Large Twisted Dermoid Cyst” in an 82-year-old Lady with Diverticulitis and Septicemia: A Case Report

Abstract

Dermoid cyst is a germ cell tumor. Eighty percent occurs during reproductive years. One to two percent undergoes malignant transformation. This is a case of a large dermoid cyst ovary measuring 10 × 12 cm in an 82-year-old lady who complained of acute on chronic pain abdomen associated with constipation. CT scan revealed a heterogeneous mass replacing ovary. Emergency laparoscopy done revealed a large collection of pus in peritoneal cavity filling POD and extending up to the subhepatic region with massively distended bowel loops. The right ovary was torted 3.5 times. To the best of our knowledge, this is the only case described in the literature of torsion ovary in a lady above the age of 80 years with diverticulitis managed laparoscopically.