Alexis D. Greene, MD, Andrzej K. Breborowicz, MD, PhD, Anne Hardart, MD
Case Description: We report the case of a 48-year-old woman with a history of lower abdominal pain that was relieved with pain control and recurred 1 year later, prompting a diagnostic laparoscopy. Laparoscopy confirmed an ovarian dermoid cyst in the posterior cul-de-sac. Intraoperatively, the ovary containing the dermoid appeared viable; this was confirmed by histopathology.
Discussion: The mass found on laparoscopy can best be explained by torsion, autoamputation, and reimplantation of the ovary containing the mature cystic teratoma into the posterior cul-de-sac.
Key Words: Dermoid cyst, Ovarian torsion, Autoamputation, Teratoma.