Chemical Peritonitis and Partial Small Bowel Obstruction Following Iatrogenic Ovarian Dermoid Cyst Rupture

Reyes, D.C.; Mama, Saifuddin T.

doi:10.1016/j.jmig.2012.08.395

Cited by 1 publication

(12 citation statements)

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“…This case report has highlighted a rare case of emergency presentation with a spontaneously ruptured ovarian dermoid cyst complicated by generalised purulent peritonitis and small bowel obstruction. Dermoid ovarian cysts, or mature cystic teratomas, are mainly composed of multiple cell types derived from one or more of the three germ layers, and they range from benign, well-differentiated (mature) cystic lesions to those that are solid and malignant (immature) 2 4 7. They account for 10%–20% of all ovarian tumours and are the most common benign ovarian neoplasms found in adolescents and during pregnancy 2 4 7.…”

Section: Discussionmentioning

confidence: 99%

“…Dermoid ovarian cysts, or mature cystic teratomas, are mainly composed of multiple cell types derived from one or more of the three germ layers, and they range from benign, well-differentiated (mature) cystic lesions to those that are solid and malignant (immature) 2 4 7. They account for 10%–20% of all ovarian tumours and are the most common benign ovarian neoplasms found in adolescents and during pregnancy 2 4 7. Most dermoid ovarian cysts remain asymptomatic for a long time, yet, rarely, serious complications may occur 4 5 7.…”

Section: Discussionmentioning

confidence: 99%

“…Laparoscopic removal of large cysts is usually the preferred method with ovarian preservation, although cyst rupture and recurrence still remain potential risks of this surgical approach 7. Laparoscopic removal of a dermoid cyst carries a small risk of chemical peritonitis if intraoperative spillage of the cyst contents occurs 2. Rare cases have been previously reported in the literature of chemical peritonitis following spillage of dermoid contents due to iatrogenic ovarian dermoid cyst rupture 1–3…”

Section: Discussionmentioning

confidence: 99%

“…Laparoscopic removal of a dermoid cyst carries a small risk of chemical peritonitis if intraoperative spillage of the cyst contents occurs 2. Rare cases have been previously reported in the literature of chemical peritonitis following spillage of dermoid contents due to iatrogenic ovarian dermoid cyst rupture 1–3…”

Section: Discussionmentioning

confidence: 99%

“…Chemical peritonitis due to iatrogenic ovarian dermoid cyst rupture is a rare complication following surgery 1–3. Spontaneous rupture of a dermoid cyst is even rarer 4–6.…”

Section: Introductionmentioning

confidence: 99%

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Generalised purulent peritonitis and small bowel obstruction due to a spontaneously perforated ovarian dermoid cyst

Simillis¹,

Cribb

Gurtovaya

et al. 2019

BMJ Case Rep

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We outline the narrative of a 28-year-old woman who initially presented to the emergency department with vomiting, diarrhoea, abdominal pain and fever. Blood tests revealed significantly raised inflammatory markers and acute renal failure. Initially, this was attributed to gastroenteritis due to a recent foreign travel, but further investigations and radiological imaging revealed a large right ovarian dermoid cyst with a significant amount of free intra-abdominal fluid and small bowel dilation. She underwent laparotomy, which revealed a spontaneously perforated right ovarian dermoid cyst resulting in generalised purulent peritonitis and small bowel obstruction due to bowel adherence at the perforation site. Meticulous adhesiolysis, right salpingo-oophorectomy and extensive peritoneal lavage were performed, with a good postoperative recovery. Spontaneous perforation of an ovarian dermoid cyst, without an associated torsion, is extremely rare, but it should be considered in cases of peritonitis and bowel obstruction of unclear cause with a concomitant finding of a dermoid cyst.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Chemical peritonitis due to iatrogenic ovarian dermoid cyst rupture is a rare complication following surgery 1–3. Spontaneous rupture of a dermoid cyst is even rarer 4–6.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations