Single-Incision Laparoscopic Appendectomy and Dermoid Cyst Enucleation

Michael Champney, MD, Tyrone Malloy, MD, JD, Bandish Chudusama, MS, Andrew Chung, BS

Dekalb Surgical Associates, P.C., Decatur, GA, USA (Dr. Champney). Metropolitan Atlanta OB/GYN, Decatur, GA, USA (Dr. Malloy).

ABSTRACT

We present a case report describing the outcome of an appendectomy and subsequent ovarian cyst enucleation using a single-incision laparoscopic approach in a 19-year-old patient. In an acute care setting, computed tomography of the abdomen demonstrated findings consistent with early acute appendicitis as well as a complex cystic mass on the right ovary. Pelvic ultrasonography revealed a right ovarian cystic lesion measuring 2.9 cm. There were no intraoperative complications. This case report demonstrates the feasibility of single-incision laparoscopy even when separate pathologic results are encountered and is, to our knowledge, the first report of the use of this technique for simultaneous appendectomy and dermoid cyst enucleation.

Key Words: Laparoscopic surgery, Appendectomy, Dermoid cyst.

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