title: Bilateral dermoid ovarian cyst in an adolescent girl.
abstract: A 19-year-old unmarried woman with regular menstrual cycles presented with symptoms of vague abdominal pain of 1 month duration. General condition fair. Per abdomen-a firm, non-tender mass corresponding to 26 weeks of gestation with smooth surface, upper and lateral borders well defined, lower border not palpable was observed. Ultrasonography: left ovarian tumour 28×19 cm with mixed echogenicity was seen in the pelvis extending superiorly into the abdominal cavity with fat, fluid contents, multiple septations. Right ovary measures 6×4 cm with 3.7 cm focal hyperechoic lesion. Uterus anteverted, normal size. No free fluid seen. CT confirmed the ultrasonography findings. Cancer antigen (CA) 125 was 52 IU/mL. Exploratory laparotomy followed by left ovariotomy and salpingectomy and right ovarian cystectomy was performed, leaving behind a significant amount of normal ovarian tissue. Cut section of the gross specimen of the left ovarian tumour-dermoid cyst-plenty of sebaceous fluid and a large tuft of hair. The right ovarian cystectomy revealed a dermoid cyst with hair and pellets of sebum. Histopathology showed bilateral dermoid ovarian cyst.
authors.affiliation: Department of Obstetrics and Gyneacology, Yenepoya Medical College, Mangalore, Karnataka, India.
authors.forename: Mumin Mushtaq Ahmed
authors.initials: MM
authors.lastname: Hakim
authors.affiliation: Department of Obstetrics and Gyneacology, Yenepoya Medical College, Mangalore, Karnataka, India.
authors.forename: Sally Mary
authors.initials: SM
authors.lastname: Abraham
mesh_terms: D003884:Dermoid Cyst / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007813:Laparotomy; D061330:Multidetector Computed Tomography; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000601:surgery; D010052:Ovariectomy / Q000379:methods*; D058994:Salpingectomy / Q000379:methods*; D055815:Young Adult