Laparoscopic Management of Chemical Peritonitis Caused by Dermoid Cyst Spillage

Shamshirsaz, Alireza A.; Shamshirsaz, Amirhoushang A.; Vibhakar, Jill L.; Broadwell, Christina; Voorhis, Bradley J. Van

doi:10.4293/108680811x13125733356990

Cited by 37 publications

(30 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In several reports, the rate of the spillage was reported between 12 and 88 % [2,5,6]. Cases of chemical peritonitis with subsequent extensive adhesion formation and granulomatosis have been reported following intraperitoneal rupture of mature cystic teratoma [7], although in most cases, complications with spillage was substantially minimal when this was followed by generous irrigation of the abdominal cavity [8]. Spillage of malignant cells following rupture of a teratoma with malignant components raises a more serious problem [9].…”

Section: Discussionmentioning

confidence: 99%

Peritoneal strumosis, 10 years after laparoscopic surgery for mature cystic teratoma of the ovary: a case report

et al. 2013

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Peritoneal strumosis, 10 years after laparoscopic surgery for mature cystic teratoma of the ovary: a case report

et al. 2013

View full text Add to dashboard Cite

“…Case reports have described chemical peritonitis following intraperitoneal spillage of dermoid cyst contents causing pelvic adhesions, bowel obstruction, abdominal wall abscess, and enterocutaneous fistula formation [7].…”

Section: Discussionmentioning

confidence: 99%

A young women with a large ovarian mass

O’Dwyer¹,

Hickey²

2013

OJOG

View full text Add to dashboard Cite

show abstract

“…The traditional surgical treatment of dermoid cysts was cystectomy by laparotomy, although laparoscopic cystectomy is now widely accepted. The rates of spillage of dermoid cysts into the peritoneal cavity after the removal of cysts by laparoscopy were 15% to 100% in several series, compared to much lower spillage rates (only 4% to 13%) when cysts were removed by laparotomy (32). Leakage or spillage of dermoid cyst contents can cause chemical peritonitis, which is an aseptic inflammatory peritoneal reaction.…”

Section: Diagnosticsmentioning

confidence: 99%

Chemical peritonitis resulting from spontaneous rupture of a mature ovarian cystic teratoma: a case report

Bužinskienė¹,

Mongirdas²,

Mikėnas³

et al. 2020

AML

View full text Add to dashboard Cite

Background. Mature cystic teratomas (dermoid cysts) are the most common germ cell tumours with 10–25% incidence of adult and 50% of paediatric ovarian tumours. The aetiology of dermoid cysts is still unclear, although currently the parthenogenic theory is most widely accepted. The tumour is slow-growing and in the majority of cases it is an accidental finding. Presenting symptoms are vague and nonspecific. The main complication of a dermoid cyst is cyst torsion (15%); other reported complications include malignant transformation (1–2%), infection (1%), and rupture (0.3–2%). Prolonged pressure during pregnancy, torsion with infarction, or a direct trauma are the main risk factors for a spontaneous dermoid rupture that can lead to acute or chronic peritonitis. The diagnosis of mature cystic teratoma is often made in retrospect after surgical resection of an ovarian cyst, because such imaging modalities as ultrasound, computer tomography, or magnetic resonance imaging cannot yet accurately and reliably distinguish between benign and malignant pathology. Materials and methods. We present a report of a clinical case of a 35-years-old female, who was referred to the hospital due to abdominal pain spreading to her feet for three successive days. She had a history of a normal vaginal delivery one month before. Abdominal examination revealed mild tenderness in the lower abdomen; no obvious muscle rigidity was noted. Transvaginal ultrasound showed a multiloculated cystic mass measuring 16 × 10 cm in the pelvis. In the absence of urgency, planned surgical treatment was recommended. The next day the patient was referred to the hospital again, with a complaint of stronger abdominal pain (7/10), nausea, and vomiting. This time abdominal examination revealed symptoms of acute peritonitis. The ultrasound scan differed from the previous one. This time, the transvaginal ultrasound scan revealed abnormally changed ovaries bilaterally. There was a large amount of free fluid in the abdominal cavity. The patient was operated on – left laparoscopic cystectomy and right adnexectomy were performed. Postoperative antibacterial treatment, infusion of fluids, painkillers, prophylaxis of the thromboembolism were administered. The patient was discharged from the hospital on the seventh postoperative day and was sent for outpatient observation. Results and conclusions. Ultrasound is the imaging modality of choice for a dermoid cyst because it is safe, non-invasive, and quick to perform. Leakage or spillage of dermoid cyst contents can cause chemical peritonitis, which is an aseptic inflammatory peritoneal reaction. Once a rupture of an ovarian cystic teratoma is diagnosed, immediate surgical intervention with prompt removal of the spontaneously ruptured ovarian cyst and thorough peritoneal lavage are required.

show abstract

Laparoscopic Management of Chemical Peritonitis Caused by Dermoid Cyst Spillage

Abstract: Early recognition and prompt treatment with removal of dermoid cyst content and peritoneal lavage can be successful in the management of‘ chemical peritonitis secondary to spillage of cyst content during surgery.

Cited by 37 publications

References 6 publications

Peritoneal strumosis, 10 years after laparoscopic surgery for mature cystic teratoma of the ovary: a case report

Peritoneal strumosis, 10 years after laparoscopic surgery for mature cystic teratoma of the ovary: a case report

A young women with a large ovarian mass

Chemical peritonitis resulting from spontaneous rupture of a mature ovarian cystic teratoma: a case report

Contact Info

Product

Resources

About