Unilateral Dermoid Ovarian Cyst In Nulliparous Women
Keywords:
Unilateral dermoid cysts, cystic teratoma, detorsion cystectomy and laparotomyAbstract
Ovarian dermoid cyst are the most common germs cell tumors of ovarian and make up about two thirds of all ovarian tumors. They occur mostly in women between the second and fourth decades of the life and usually present with non-specific symptoms including lateral onset menarche and menstrual cycle abnormalities.
It is reported the case of 23 years old women, who presented with sudden onset of severe lower abdominal pain and nausea, similar episode of pain were experienced in the previous few months and diagnosed as a case of unilateral ovarian cyst. She was found to have unilateral – ovarian torsion caused by adnexal mass. She was managed by detorsion and Rt. Cystectomy and Laparotomy at Ibn- Sina Teaching Hospital.
Mature teratoma is an important gynecological morbidity whose prompt diagnosis and management can ever serious complication. We therefore preset this case to raise physician awareness on common presentation of common gynecological tumor.
References
Sah, S. (2004) “Germ cell tumors of the ovary: A clinic pathological study of 121 cases, Nepal Journal of Obstetrics and Gynecology, No. 30, V4, pp 303-308
Inkdlu, S. (2015) “An usual age presentation of mature cystic teratomas : A case report, International Journal of Reproductive and contraceptives, Obstetrics and Gynecology, No. 4, V4, pp 1234-1236.
McWilliams, G. D, and Hill D. (2008) Gynecologic emergencies Surgery Clinics , North Am, No. 88, pp 265-83.
White, S J. (2005) Ovarian Torsion: 10 year perspective. Emergency Med. Australas, No.17, 231-237.
Bazot, M., and Cortez, S (1999) Imaging of dermoid cyst with foci of immature tissue, Comput Assist Tomogr, No.23, pp 703-706.
Ayan, A., and Bulkumez, O. G (2000) Mature Cystic Teratoma of the ovary case series from one institution ovaryb34 years, Eur j obstet gynecol reprot Biol, No. 88, p153.
Lakkis, W. M, and Gelfand, M. M (1985) Benign cystic teratoma of the ovary: a 6year review. Can J surg, No. 28, PP 444-446.
Pepe, F., and Panella, M. Pepe,G., Panella, P. and Pennisi, F. (1986) the presence of a unilateral mature cyst teratoma, man_- Dermoid cysts of the ovary. Eur J. Gynaecol Oncol, No. 7, pp186-191
Outwater, E. K., Siegelman, E. S.,and Hunt, J.L (2001) Ovarian Teratomas Tumor types and Imaging Characteristics Radio Graphics, No. 21, p 47590.
Comerci, J. T., Jr Licciardi, F., Benign, P. A (1994) Mature Cystic Teratoma a Clinicopathologic Evaluation of 517 cases and review of the Literature , Obstet Gynecol, No. 84, pp 8-22.
Houry, D., and Abbott, J. T (2001) Ovarian Torsion: A fifteen year review, Ann Emerg Med, No. 38 pp 156-159.
Ci, H, and Mun-Kun, H., and Dah-Ching, D (2017) A review of ovarian torsion, Tzu Med Journal, No. 29, V 3, pp143-147.
Pascual, M. A, and Tresserra, F., and Lopez –Marin, L., and Ubeda A., Grases, P. J., Dexeus, S. (2000) Role of Color Doppler Ultrasonography in the Diagnosis of Endometrioitc Cyst J. Ultrasound Med. No. 19, pp 695-699.
Wilkinson, C., and Sanderson, A (2001) Adxenal torsion a multimodality imaging review, Clain Radiol,
No. 67, pp 476-483
Lee, E. J., Kwon, H. C., Joo, H. J., Suh, J. H., Fliesche, R. A. C (1998) Diagnosis of Ovarian torsion with the color Doppler Sonography: Depiction of twisted vascular pedicle J. Ultrasound Med, No. 17, pp 83-89.
Tsafrir, Z., Hasson, J., Levin, I., Solomon, E., Lessing, J. B (2012) Adnexal torsion: Cystectomy and ovarian fixation are equally important in preventing recurrence. Eur Journal of Obstet Gynecol Reprod Biol, No. 162, pp 203-205.
