Large ovarian dermoid, a cause for fetal growth restriction and oligohydramnios: rare instance in literature

Anupma ., Avir Sarkar, Deepak Yadav, Jagadish C. Sharma


Ovarian dermoids mostly remain asymptomatic during pregnancy. Large dermoids may present with torsion, hemorrhage or rupture. However, a dermoid cyst causing fetal growth restriction (FGR) and oligohydramnios is a very rare entity. We report a case of a large ovarian dernoid (15×12 cm) hampering intrauterine fetal growth. Due to the COVID-19 lockdown, patient was unable to get ultrasound examinations in early gestation, and thereby surgical intervention was not possible during the second trimester. As a result, this growing teratoma finally led to FGR by either exerting a pressure effect upon the uterus or by dwindling its blood supply.



Dermoid cyst, Fetal growth restriction, Oligohydramnios, Teratoma

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Attia L, Chachia A, Ben TR, Bennour G, Makhlouf T, Koubaa A. Benign ovarian tumors during pregnancy. A review of 26 cases. Tunis Med. 2008;86(7):680-4.

Tariel O, Huissoud C, Rudigoz RC, Dubernard G. Presumed benign ovarian tumors during pregnancy. J Gynecol Obstet Biol Reprod. 2013;42(8):842-55.

Sahin H, Abdullazade S, Sanci M. Mature cystic teratoma of the ovary: a cutting edge overview on imaging features. Insights Imaging. 2017;8(2):227-41.

Chaudhary H, Jindal A, Sharma P. Ruptured dermoid cyst during pregnancy: a rare case report. J Gynecol Women’s Health. 2018;10(2):555781.

Das R, Rajbhandari S. An ovarian dermoid cyst in pregnancy: a rare cause of Intrauterine growth restriction. Medphoenix. 2020;5(1):75-8.

Testa AC, Mascilini F, Quagliozzi L, Moro F, Bolomini G, Mirandola MT, et al. Management of ovarian masses in pregnancy: patient selection for interventional treatment. Int J Gynecol Cancer. 2021;31(6):899-906.

Qublan HS, Al-Ghoweri AS, Al-Kaisi NS, AbuKhait SA. Benign mucinous cystadenoma with stromal luteinization during pregnancy: a hormonally responsive tumor and a rare cause of fetal intrauterine growth restriction. J Obstet Gynecol Res. 2002;28(4):104-7.

Mandi D, Mondal RC, Bhar D, Maity AK, Nandi MK, Singh K. Successful vaginal delivery despite a huge ovarian mucinous cystadenoma complicating pregnancy: A case report. Iran J Med Sci. 2013;38(4):339-42.