<- Home <- Arhive <- Vol. 7, Issue 4, December 2011



GINECOeu7(4)208-209(2011)
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Teratoma and endometriotic ovarian cysts on ipsilateral ovary occuring after ectopic pregnancy. Case presentation of a rare association

A. Sindilar, R. Socolov, D. Socolov, C. Terinte, I. L. Anghelache


Abstract: We present a case of ovarian endometriosis associated with teratoma ovarian cyst. This is a case of 30 years old patient, Para 1, admitted in the hospital for ovarian mass on a single ovary. She had previously been operated for ectopic pregnancy associated with mature teratoma cyst of the right ovary, which required right adnexectomy. The ultrasound scan described at present increased left ovary of 6 cm, with 2 different cystic structures: one homogenous of 40/30mm, and one of 30/44mm heterogenic mostly anechogenic with an intracystic hyperchogenic image. The CA 125 was increased- 45 IU/l, and therefore the surgical exploration was decided. It showed both an endometrioma and a teratoma, the internal echo being a tooth fragment. A double cystectomy was performed, and ovarian tissue was spared, in relation with patient’s age and wish for future pregnancies. In conclusion, we think this case presents a peculiar ovarian pathology association, in a patient in which CA 125 and ultrasound aspect were misleading regarding the nature of cysts. There are only three such cases described in the literature, and this is the first one with bilateral teratoma cyst with endometrioma, and the difficulties of diagnosis justifies its presentation here.
Keywords: ovarian cyst, ectopic pregnancy, teratoma, ultrasound

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