scholarly journals Mature Cystic Teratoma of Douglas’ Pouch: A Rare Entity

Cureus ◽  
2019 ◽  
Author(s):  
Pruthwiraj Sethi ◽  
Suvendu Purkait
2014 ◽  
Vol 57 (4) ◽  
pp. 274 ◽  
Author(s):  
Eun-Jeong Choi ◽  
Yu-Jin Koo ◽  
Ji-Hyun Jeon ◽  
Tae-Jin Kim ◽  
Ki-Heon Lee ◽  
...  

2014 ◽  
Vol 4 (1) ◽  
pp. 80 ◽  
Author(s):  
Reetika Sharma ◽  
Biswajeet Biswas ◽  
ShailjaPuri Wahal ◽  
Neelam Sharma ◽  
Vijay Kaushal

2017 ◽  
Vol 33 (2) ◽  
pp. 213-217
Author(s):  
Sayaka Taga ◽  
Masayuki Ito ◽  
Syunsuke Miyamoto ◽  
Toshiyuki Tsudo

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Tushar Subhadarshan Mishra ◽  
Saubhagya Kumar Jena ◽  
Supriya Kumari ◽  
Suvendu Purkait ◽  
Pavithra Ayyanar ◽  
...  

Abstract Background The ovary is the most common site of occurrence of mature cystic teratomas (dermoid cysts). These are the most common ovarian germ cell tumor in the reproductive age group, accounting for 10–20% of all ovarian neoplasms, with a 1–2% risk of malignancy. A cecal dermoid cyst is a rare entity with only ten cases having been reported so far, eight of which could be retrieved as the rest were reported in different languages. None of these cases were managed laparoscopically. Here we present the first case of cecal dermoid managed laparoscopically. Case presentation A 35-year-old nulliparous Indian Hindu woman presented with complaints of on and off abdominal pain for 10 months. The abdominal examination revealed a well-defined mass of about 10 × 5 cm size, palpable in the right iliac fossa. On sonography, it was suggestive of a right-sided ovarian dermoid cyst. The lesion measured 10 × 7 × 5 cm on a contrast-enhanced computed tomogram (CT) scan. It was well defined and hypodense and located in the right lower abdomen. The ovarian tumor markers were normal. On laparoscopy, the uterus, bilateral tubes, and ovaries were found to be healthy. The cyst was seen arising from the right medial wall of the cecum at the ileocecal junction, which was excised laparoscopically. Histopathological study revealed it to be a mature cystic teratoma. Conclusion Ovarian mature cystic teratoma commonly has an indolent course and can present with palpable abdominal mass, pain, or vomiting due to complications like torsion, hemorrhage, or infection. Alternatively, these cysts can be asymptomatic and incidentally detected. Clinicians should be aware of the variety of presentations of dermoid cysts of the bowel as well as mesentery. The exact location of the teratoma eluded us till the laparoscopy despite adequate imaging including a contrast-enhanced CT scan having been performed preoperatively. We are reporting this as it is a rare entity, and this knowledge will help gynecologists and surgeons make an appropriate surgical decision.


2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Kenji Ohshima ◽  
Anna Umeda ◽  
Ayako Hosoi ◽  
Toshiya Yamamoto ◽  
Satoru Munakata

Mature cystic teratoma is one of the most common ovarian neoplasms, but extragonadal teratoma is rare. Teratoma in Douglas’ pouch is extremely rare, and only 12 cases have been reported since the first case was described in 1978. We report a 20-year-old woman with a multicystic mass in Douglas’ pouch that was treated via laparoscopic resection. The tumor consisted of cysts lined by stratified squamous epithelium with an accumulation of keratin debris and various mature tissues. No immature elements or malignancy was found in the tumor, confirming the pathologic diagnosis of a mature cystic teratoma. The teratoma contained no ovarian tissues and both of the ovaries were intact on laparoscopy. These findings suggest that the teratoma originated primarily in Douglas’ pouch rather than being caused by autoamputation of a previously existing ovarian teratoma. This is the first case that simultaneously showed normal ovaries and a teratoma in Douglas’ pouch on laparoscopy.


Author(s):  
Vinayak Aryal ◽  
Rubina Maharjan ◽  
Moushami Singh ◽  
Adwait Marhatta ◽  
Anu Bajracharya ◽  
...  

Malignant transformation of mature cystic teratoma (MCTO) is a rare entity. Even rarer is the transformation of MCTO into undifferentiated carcinoma. We report a case of an 80-year-old woman with undifferentiated carcinoma and squamous cell carcinoma component originating from mature cystic teratoma of the ovary.


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