Multiple Bilateral Ovarian Mature Cystic Teratomas with Ovarian Torsion: A Case Report

Fayez, Iman; Khreisat, Basel; Athamneh, Tarek; Daibes, Mayada A.

doi:10.5001/omj.2018.30

Cited by 11 publications

(12 citation statements)

References 22 publications

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“…This term was formulated in 1863 in the first edition of Virchow's book about tumours (8). Teratomas can be divided into two groups: a) mature teratomas, which include dermoid cysts, and are generally benign b) immature teratomas, which can be cancerous (9).…”

Section: Definitions and Classificationmentioning

confidence: 99%

“…Dermoid cysts are bilateral in 8-15% of cases (18). Sometimes ipsilateral multiple ovarian teratomas can occur (with the incidence of about 9%) (9). Ruchi Rathore et al reviewed different studies and revealed that pathology side in unilateral cases may vary depending on studies (19).…”

Section: Locationmentioning

confidence: 99%

“…In at least a quarter of all cases, MCT are asymptomatic and discovered accidentally on a routine pelvic examination, imaging, or during surgery (20). If it causes symptoms, the most common symptom of ovarian MCT is lower abdomen pain, which occurs in nearly half of the patients (9). On the other hand, this type of tumour may also become symptomatic due to complications.…”

Section: Symptomsmentioning

confidence: 99%

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

Bužinskienė¹,

Mongirdas²,

Mikėnas³

et al. 2020

AML

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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.

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Section: Definitions and Classificationmentioning

confidence: 99%

Section: Locationmentioning

confidence: 99%

Section: Symptomsmentioning

confidence: 99%

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

Bužinskienė¹,

Mongirdas²,

Mikėnas³

et al. 2020

AML

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“…According to the authors, the frequency varies between 22% and 50% of benign ovarian tumors during pregnancy [1,4,5]. This tumor most often affects women of child-bearing age [2,6,7].…”

Section: Physiopathologymentioning

confidence: 99%

Mature Ovarian Teratoma and Pregnancy About a Case in Abidjan Cote d’Ivoire

Eléonore¹,

Effoh²,

Ehui³

et al. 2020

JGO

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As part of the optimization of care, ultrasound scans are routine during pregnancy. The result is the more frequent finding of a benign-looking tumor associated with pregnancy. These are most often mature teratomas of the ovary also called dermoid cyst. We report a case of mature ovarian teratoma larger than 60 mm, diagnosed in early pregnancy. The objective of this clinical case is to discuss the pathophysiological mechanisms, prognosis and management in countries under medical care. This case occurred in a primigest, nulliparous 28-year-old woman who did not have a specific medical history. The pregnancy was brought to term without major complications. The mode of delivery was a cesarean section, which gave us the opportunity to perform the cystectomy. In view of this case, we propose that, in the absence of a laparoscopy or a laparotomy for an ovarian cyst associated with pregnancy and when the maternal-fetal condition allows it, therapeutic abstention may be considered. In this case, special prenatal monitoring must be carried out by a multidisciplinary team of obstetrician, sonographer, intensive care anesthesiologist and neonatologist. Apart from complications directly related to the cyst during pregnancy, we recommend a full term caesarean section. This represents an opportunity to perform the cystectomy at the same time of operation.

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“…More importantly, 15% of these lesions may lead to the risk of ovarian torsion. [1][2][3] Moreover, ovarian torsion considers about 3% of cases of acute abdominal discomfort that present at emergency departments. 4 Although ovarian torsion during pregnancy or the postpartum period is often confused with other acute abdominal diseases, it should not be missed.…”

Section: Introductionmentioning

confidence: 99%

Ovarian Torsion Due to Mature Cystic Teratoma During the Early Postpartum Period: A Rare Case Report

Osman

Tahtabaşı

İbrahim

et al. 2021

IMCRJ

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Mature cystic teratoma (MCT) is a benign and unilateral ovarian neoplasm usually seen in premenopausal women. Its most common complication, torsion, is a well-known cause of acute abdominal pain. However, it is rare in the early postpartum period. In this paper, we present a case of ovarian torsion due to MCT, which was diagnosed radiologically in the early postnatal period and surgically confirmed. A 25-year-old woman vaginally delivered a healthy baby on time and without any problems. She presented with acute abdominal pain in the right lower quadrant on the postpartum 5th day. Abdominal ultrasound (US) and computed tomography (CT) demonstrated an ovarian mass containing fat and calcification in the right adnexa and non-enhancing ovarian parenchyma. The patient was discharged on the 5th day after the salpingo-oophorectomy operation without any complications. US and CT provided crucial information to make an accurate and rapid management decision in ovarian torsion due to MCT.

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Multiple Bilateral Ovarian Mature Cystic Teratomas with Ovarian Torsion: A Case Report

Cited by 11 publications

References 22 publications

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

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

Mature Ovarian Teratoma and Pregnancy About a Case in Abidjan Cote d’Ivoire

Ovarian Torsion Due to Mature Cystic Teratoma During the Early Postpartum Period: A Rare Case Report

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