Presentation
Remarkable abdominal pain and nausea and clinically suspicious for renal colic.
Patient Data
There are mass-like lesions containing fat and small calcified focus in the central part in the left adnexa and larger solid-cystic appearing mass-like lesions containing remarkable and relatively dense fluid and small flecks of calcified foci and fat in the right ovary more compatible with a dermoid cyst in both ovaries and right ovary torsion.
Case Discussion
The case is a 35-year-old female who came to an emergency room complaining of abdominal pain and nausea misleading for renal colic. Non-contrast abdomen and pelvic CT scan requested for further evaluation and in both ovaries, solid-cystic appearing mass-like lesions smaller size in the left ovary with more fat component, and the larger size in the right ovary with more and relatively dense fluid, smaller fatty component, and also small calcified foci within masses more compatible with a dermoid cyst in both ovaries were found. The more and relatively fluid containing and larger size of the right ovary mass can be due to torsion of the ovary due to the dermoid cyst. The pelvic CT scan can be diagnostic for ovarian dermoid cyst but in atypical or equivocal cases on CT scan images and/or ultrasound exam, MRI can more precisely characterize the ovarian mass lesions.
The treatment of the choice of an ovarian dermoid cyst is complete surgical excision the micro-invasive surgery is usually a safe procedure considering the major surgical complication of an ovarian dermoid cyst is chemical peritonitis.