Open AccessA Large Parasitic Dermoid Cyst in The Pouch of Douglas, A Torsion Complication?
Author(s) -
Luay Abu Atileh,
Nouf Khalifeh
Publication year - 2021
Publication title -
indonesian journal of obstetrics and gynecology
Language(s) - English
Resource type - Journals
eISSN - 2338-7335
pISSN - 2338-6401
DOI - 10.32771/inajog.v9i3.1492
Subject(s) - medicine , dermoid cyst , pouch , surgery , cyst , umbilicus (mollusc) , laparoscopy , radiology
Objectives:
To identify the underlying etiology of dermoid cysts in the pouch of Douglas.
Case presentation:
A 44-year-old woman presented to our clinic complaining of chronic, dull-aching lower abdominal pain of one-month duration. Pelvic ultrasound examination showed an eight-centimeter cystic appearing lesion in the right adnexa. Computed tomography (CT) suggested the diagnosis of dermoid cyst. Laparoscopy revealed a residual ovarian tissue on the right side and an eight-centimeter cystic mass occupying the pouch of Douglas. The entire specimen was removed en bloc through the umbilicus incision inside a bag with no spillage. Histopathologic examination confirmed the diagnosis of a mature cystic teratoma.
Conclusion:
Parasitic dermoid cysts are extremely rare entity especially those located in the pouch of Douglas. Autoamputation and reimplantation is the most accepted etiology to explain this phenomenon.
Key-words: Autoamputation, dermoid cyst, Douglas, Laparoscopy, Mature cystic teratoma