Ovarian dermoid presenting as acute intestinal obstruction: a rare case report and review of literature
Keywords:
Teratoma, Mature benign teratoma, Dermoid cyst, Ovary, Intestinal obstructionAbstract
Teratomas are germ cell tumors mainly composed of multiple cell types derived from one or more of the 3 germ layers and they range from benign, well-differentiated (mature) cystic lesions to those that are solid and malignant (immature). Dermoid cysts of the ovary represent the most common form of benign ovarian tumor. Benign cystic teratomas of the ovary have been reported in wide age groups ranging from 1 to 91 years. Although ovarian dermoids remains asymptomatic for quite long time yet rarely, serious complications occur that result in life-threatening events such as bowel perforation. The most common complication associated with dermoid cysts is torsion. In contrast, rupture, infection and secondary malignant change are uncommon complications and dermoid cysts only very rarely present with bowel involvement. The case under report is that of 25 years old lactating female who delivered a full term baby 12 weeks back and presented to hospital with features of acute intestinal obstruction. The case is being reported due to rarity of its presentation.
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References
Deodhar KK, Suryawanshi P, Shah M, Rekhi B, Chinoy RF. Immature teratoma of the ovary: a clinicopathological study of 28 cases. Indian J Pathol Microbiol. 2011;54(4):730-5.
Sundar Syam, Umman Philip, Chisthi Meer. Mature ovarian teratoma presenting as small bowel obstruction. Indian J Surg. 2013 Oct;75(5):411.
Pantjola E, Noy MA, Axtmayer RW, Colon FE, Pelegrina I. Ovarian dermoids and their complications: comprehensive historical review. Obstet Gynecol Surv. 1975;30:1-20.
Giustini FG, Sohn S, Khosravi H. Pelvic abscess and perforation of the sigmoid colon by a segment of benign cystic teratoma: an unusual complication of induced abortion. J Reprod Med. 1978;20(5):291-2.
Astrid R. Von-Weltor, Rebecca S. Nelken. Benign cystic teratoma with fistula in small in bowel. Obstet Gynecol. 2012 Feb;119:434-6.
Pantoja E, Noy MA, Axtmayer RW, Colon FE, Pelegrina I. Ovarian dermoids and their complications: comprehensive historical review. Obstet Gynecol Surv. 1975;30(1):1-20.
Upadhye V, Gujral S, Maheshwari A, Wuntkal R, Gupta S, Tongaonkar H. Benign cystic teratoma of ovary perforating into small intestine with co-existent typhoid fever. Indian J Gastroenterol. 2005;24(5):216-7.
Pantoja E, Noy MA, Axtmayer RW, Colon FE, Pelegrina I. Ovarian dermoids and their complications: comprehensive historical review. Obstet Gynecol Surv. 1975;30(1):1-20.
Okada S, Ohaki Y, Inoue K, Nakajo H, Kawamata H, Kumazaki T. A case of dermoid cyst of the ovary with malignant transformation complicated with small intestinal fistula formation. Radiation Med. 2005;23(6):443-6.
Cebesoy FB, Baskonus I, Mete A, Kutlar I, Aybasti N. Benign ovarian dermoid cyst complicated with rectal fistula formation: an unusual case. Arch Gynecol Obstet. 2009;279:179-81.
Mitui AH, Fujita R, Sugata F, Kienebuchi M, Suzuki K, Sagawa F. A case of ovarian dermoid cyst with malignant transformation perforated into the rectosigmoid colon and small intestine. Endoscopy. 1983;15(5):331-3.
Shiels WE, Dueno F, Hernandez E. Ovarian dermoid cyst complicated by an entero-ovarian fistula. Radiology. 1986;160(2):443-4.
Goldenberg NJ. Dermoid perforation of the colon. Gastrointest Radiol. 1978;3(2):221-2.
Dgani R, Rozenman D, Shoham Z, Lancet M, Nissim F, Pfeffermann R, et al. Ovarian malignancies in pregnancy complicated by colonic perforation. Israel J Med Sci. 1988;24(4-5):241-4.
Peterson WF, Prevost EC, Edmunds FT, Hundley JM Jr, Morris FK. Benign cystic teratomas of the ovary: a clinico-statistical study of 1,007 cases with review of literature. Am J Obstet Gynecol. 1955;70(2):368-82.