Twisted Benign Cystic Teratoma Of Ovary Presenting With Acute Pain Abdomen In A Young Adolescent Girl

DR. TM MANI; DR. L DHANRAJ; DR T . DHINAKARAN; DR V.S THIRUNAVAKARASU; DR. B PALANI; DR K. LOGANATHAN

Volume : V, Issue : XI, November - 2016

Twisted Benign Cystic Teratoma Of Ovary Presenting With Acute Pain Abdomen In A Young Adolescent Girl

Dr. Tm Mani, Dr. L Dhanraj, Dr T . Dhinakaran, Dr V. S Thirunavakarasu, Dr. B Palani, Dr K. Loganathan

Abstract :

ntroduction: Cystic ovarian teratomas comprise 20% of all ovarian neoplasms and are commonly encountered in patients between 20 and 40 years of age. Although these cysts are asymptomatic , we present a case of a young adolescent girl whose cyst resulted in acute pain abdomen and vomiting . CASE PRESENTATION: A 13 year old Indian adolescent girl presented with acute pain lower abdomen and vomiting of one day duration. She had no history of allergies and was not on medications. The physical examination of the patient was found to have tenderness over the right iliac fossa , no muscle guarding or rigidity; mass felt in sub umbilical region , tender and mobile . Computed tomography showed that the cyst ,which contained sebaceous content ,mucinous area, hair and pultaceous material, originated from the right ovary .After emergency laprotomy and excision of the twisted ovarian cyst , her symptoms resolved completely. Conclusions : An unusual case of Torsion of a ovarian teratoma presenting with acute pain abdomen was resolved after surgical removal of the cyst.