Multiple bilateral dermoid cysts with ectopic pregnancy: a rare case report

Divya Agrawal

doi:10.18203/2320-1770.ijrcog20205410

Authors

Divya Agrawal Department of Obstetrics and Gynaecology, Adesh Medical College, Shahbad, Haryana

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20205410

Keywords:

Dermoid cyst, Ectopic pregnancy, Infertility

Abstract

Mature cystic teratoma (dermoid) is a common ovarian neoplasm but less frequently occurs bilaterally specially with ectopic pregnancy. It poses challenge in management in a young woman with history of infertility where preservation of ovarian stroma takes the priority. Here presented case of 30-year-old para 0, gravida 1 women who was diagnosed with ectopic pregnancy with history of infertility of 4 years. She underwent laparotomy where salpingectomy was done owing to tubal rupture. Dermoid cyst was removed simultaneously. When both ovaries were palpated, three more dermoids were found and taken off as well. Earlier ovulation induction was given before adhesions take upper hand and patient was pregnant in first cycle.

Metrics

Metrics Loading ...

Author Biography

Divya Agrawal, Department of Obstetrics and Gynaecology, Adesh Medical College, Shahbad, Haryana

I was Assistant Professor at the time of writing case report, presently working as Registrar in NHS.

References

Rha SE, Byun JY, Jung SE, Kim HL, Oh SN, Kim H, et al. Atypical CT and MRI manifestations of mature ovarian cystic teratomas. AJR Am J Roentgenol. 2004;183(3):743–50.

Comerci JT Jr, Licciardi F, Bergh PA, Gregori C, Breen JL. Mature cystic teratoma: a clinicopathologic evaluation of 517 cases and review of the literature. Obstet Gynecol. 1994;84(1):22–8.

Kaminski P, Gajewska M, Wielgos M, Szymusik I. Laparoscopic management of dermoid cysts in patients of reproductive age. Neuro Endocrinol Lett. 2006;27(6):818–21.

Pergialiotis V, Prodromidou A, Frountzas M, Bitos K, Perrea D, Doumouchtsis SK. The effect of bipolar electrocoagulation during ovarian cystectomy on ovarian reserve: a systematic review. Am J Obstet Gynecol. 2015;213(5):620–8.

Caspi B, Appelman Z, Rabinerson D, Zalel Y, Tulandi T, Shoham Z. The growth pattern of ovarian dermoid cysts: a prospective study in premenopausal and postmenopausal women. Fertil Steril. 1997;68(3):501–5.

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.

Williams PL, Dubbins PA, Defriend DE. Ultrasound in the diagnosis of ovarian dermoid cysts: a pictorial review of the characteristic sonographic signs. Ultrasound. 2011;19(2):85–90.