Occult traumatic avulsion of an ovarian dermoid cyst.
This case report describes a unique presentation involving avulsion of an ovarian dermoid tumor which occurred as the result of blunt trauma secondary to a motor vehicle collision. Despite an unimpressive initial presentation and normal physical examination, the patient subsequently developed symptoms of severe hemorrhage requiring aggressive intravascular volume resuscitation. A ruptured ovarian dermoid tumor was eventually diagnosed by computerized axial tomography. A review of the literature by the authors did not reveal any similar cases of previous reports of this phenomenon.
Levine
R L
RL
Department of Medicine, Baylor College of Medicine, Waco, TX.
Pepe
P E
PE
Blackstone
W
W
Danzinger
J
J
Varon
J
J
D000063:Accidents, Traffic; D000328:Adult; D003884:Dermoid Cyst / Q000175:diagnosis / Q000473:pathology*; D005260:Female; D006801:Humans; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000473:pathology*; D012421:Rupture; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000473:pathology*