An Unusual Presentation of a Right Ovarian Dermoid Cyst

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

“…A dermoid cyst is a relatively common tumor that is an infrequent cause of abdominal and flank pain. 4 Pain is often related to the size pain when it occurs, is from mass effect and ovarian torsion. Torsion is the most common 15 to 20%, and rupture is an uncommon 1% complication.…”

“…Typically, these tumors contain mature tissue of ectodermal (skin, brain), mesodermal (muscle, fat) and ectodermal (mucinous or ciliated epithelium) origin. 4 They have characteristic CT scan appearance with fat fluid level attenuation and calcification or ossification, as demonstrated in Figure 2 of the mass and ovarian torsion is common. It is mostly composed of ectodermal tissue.…”

Original research article on cystic ovarian lesions diagnosed as teratomas - a 2 year study in a tertiary care hospital

“…[4][5][6] They have a characteristic CT scan appearance with fat/fluid level attenuation and calcification or ossification. 15 The classic sonographic appearance is of a hyperechoic mass known as a dermoid plug or Rokitansky protuberance. 15 The Rokitansky protuberance is composed of the thickened area of ectodermal tissue from which hair and teeth arise.…”

“…15 The classic sonographic appearance is of a hyperechoic mass known as a dermoid plug or Rokitansky protuberance. 15 The Rokitansky protuberance is composed of the thickened area of ectodermal tissue from which hair and teeth arise. Pain is often related to the size of the mass, and ovarian torsion is common.…”

“…Mature cystic teratomas grow slowly at an average rate of 1.8 mm each year, prompting some investigators to advocate non-surgical management of smaller (6cm) tumors. 15 Mature cystic teratomas are indolent tumors with an estimated growth rate of 1.8 mm per year. It is unclear what signals these lesions to grow.…”