Mature cystic ovarian teratoma

Case contributed by Dr Rodney Strahan

Presentation

Fever and pelvic pain

Patient Data

Age: 30 years
Gender: Female
Ultrasound

Transverse pelvic scan (superior to inferior) and Longitudinal (right to left):

  • Bilobed pelvic mass with 'tip of iceberg' appearance suggesting ovarian dermoid. Pelvic fluid.
  • Bilateral paracolic collections with stranding suggesting infected fluid.
Photo

Surgical specimen shows bilobed lesion which contained pus.

When opened, the contents confirmed a dermoid with hair, fat, etc.

Case Discussion

The typical ultrasound appearance of a dermoid (mature cystic ovarian teratoma) in the pelvis of a female with added information (history and paracolic collections) suggesting that it has been complicated by infection.

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Case information

rID: 50783
Published: 21st Jan 2017
Last edited: 3rd Jan 2021
System: Gynaecology
Inclusion in quiz mode: Included