Ovarian Cystectomy for Huge Mature Cystic Teratoma Developed in Less than Five Years: A Case Report
A 26-year-old woman was admitted due to progressive abdominal distension and
discomfort, five years after delivery.
Symptoms, such as severe abdominal pain, nevertheless
other symptoms, such as vomiting, change in bowel habits, urinary symptoms or change in
menstrual pattern were denied.
Physical examination on admission demonstrated a distended
abdomen more obvious at the right side, soft with no area of tenderness.
In laboratory testing
haemoglobin was 12.6g/dL, white cell count was 7.170 μ/L, and urinalysis was normal.
Abdominal ultrasonography revealed a large unilocular cystic mass 14×20×18 cm rather than 12.58×21.26×19.38 cm with fat attenuation within the cyst and calcificated areas in the wall, found in abdominal contrast computed
tomography (Figures 1 and 2). This cystic mass not existed five years ago on transvaginal ultrasound performed forty days after delivery
The patient underwent a median incisional exploratory laparotomy.
Pelvic and abdominal organs were closely
inspected.
The cystic mass originated from the left ovary, was
predominantly located in the right abdomen and no organ was
infiltrated. The right ovary was not affected grossly and the uterus was normal in size.
An ovarian cystectomy was performed.
Histopathological examination of the excised cyst showed that
it was a benign cystic teratoma.
Her postoperative recovery was uneventful and she was discharged on the 5th postoperative day.
Three months after operation there was functioning left ovarian tissue on follow-up transvaginal ultrasound.
Gynecol Obstet Res Open J. 2016; 2(5): 99-101. doi: 10.17140/GOROJ-2-123
