Laparoscopic management of a ruptured benign dermoid cyst during advanced pregnancy.
Benign cystic teratomas in pregnant women may be responsible for complications such as torsion, rupture and obstruction of labor. A woman in her 31st week of pregnancy with torsion of a large dermoid cyst and lipogranulomatosis peritonitis due to spilled cyst contents was managed laparoscopically with a favorable outcome. Trocar sites were selected according to the uterine size. Open laparoscopy allowed protection of the gravid uterus from penetrative injuries. Laparoscopic management of a voluminous adnexal mass may be safely performed during advanced pregnancy.
Roman
Horace
H
Department of Obstetrics, Gynecology and Reproductive Medicine, University Hospital, Polyclinique, Clermont-Ferrand, France. horace.roman@libertysurf.fr
Accoceberry
Marie
M
Bolandard
Franck
F
Bourdel
Nicolas
N
Lenglet
Yann
Y
Canis
Michel
M
D000328:Adult; D003884:Dermoid Cyst / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D004312:Douglas' Pouch; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010051:Ovarian Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D010052:Ovariectomy; D010534:Peritoneal Neoplasms / Q000601:surgery*; D010538:Peritonitis / Q000209:etiology; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery*; D011256:Pregnancy Outcome; D011263:Pregnancy Trimester, Third; D014057:Tomography, X-Ray Computed; D014102:Torsion Abnormality