Dermoid cyst - CRSLS

Endometrioma Coexisting with Dermoid Tumor in a Single Ovary Presenting as Atypical Endometrioma

SLS — Mon, 08 Apr 2019 20:02:41 +0000

Huseyin Kiyak, MD, PÄ±nar Kadirogullari, MD, Tolga Karacan, MD, Doga Kerem Seckin, MD, Suat Karatas, MD

Department of Obstetrics and Gynecology, Bagcilar Research and Education Hospital, University of Health Sciences, Istanbul, Turkey (Dr. Tolga)
Department of Obstetrics and Gynecology, Sisli Research and Education Hospital, University of Health Sciences, Istanbul, Turkey (Dr. Karatas)

ABSTRACT

Introduction: Ovarian endometrioma, the clinical phenotype of endometriosis, is found in 17% to 44% of patients with endometriosis and is related to the severe form of the condition. The observation of endometrioma and dermoid tumor in the same ovary can be evaluated as atypical endometrioma or ovarian cancer in ultrasound findings.

Case Description: The objective of this report is to present two cases in which an endometrioma and a dermoid tumor are present in the same ovary and to review the subject together with the results of 10 previously reported cases in the literature.

Discussion: The ultrasound findings in atypical endometriomas and endometriomas that mimic ovarian tumors are combinations of papillary projections, hyperechoic irregular walls, a distinct solid mass, and calcifications. Magnetic resonance imaging is the second option for patients who are ultrasonographically identified as having an indeter- minate adnexal mass, and it can provide additional information in distinguishing between the two pathologies within the same ovary. Due to suspected malignancy, unnecessary tests and gynecologic oncology consultations are recommended in cases of atypical endometrioma. This may lead to an increase in the frequency of unnecessary midline laparotomy.

Key Words: Endometrioma; Dermoid cyst; Ultrasonography.

Download (PDF, Unknown)

The post Endometrioma Coexisting with Dermoid Tumor in a Single Ovary Presenting as Atypical Endometrioma first appeared on CRSLS.

Single-Incision Laparoscopic Appendectomy and Dermoid Cyst Enucleation

SLS — Thu, 04 Dec 2014 16:18:29 +0000

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.

Download (PDF, Unknown)

The post Single-Incision Laparoscopic Appendectomy and Dermoid Cyst Enucleation first appeared on CRSLS.

Torsion, Autoamputation, and Reimplantation of Viable Ovarian Dermoid Cyst

SLS — Sat, 15 Nov 2014 17:50:15 +0000

Alexis D. Greene, MD, Andrzej K. Breborowicz, MD, PhD, Anne Hardart, MD

Department of Obstetrics & Gynecology, St Luke’s Roosevelt Hospital Center, New York, NY, USA (all authors).

ABSTRACTIntroduction: Case reports of parasitic teratomas exist; however, most viable ovarian dermoids reimplant into the omentum. It is rare to report a viable ovary containing a dermoid that has undergone autoamputation and reimplantation in the posterior cul-de-sac.

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.

Download (PDF, Unknown)

The post Torsion, Autoamputation, and Reimplantation of Viable Ovarian Dermoid Cyst first appeared on CRSLS.