Subtle Presentation of Bilateral Ovarian Dermoid Cysts With Unilateral Torsion: A Case Report

Abstract

Majority of non-physiological tumors seen in pregnancy are mature cystic teratomas, also known as dermoid cysts. Their discovery in pregnant women poses a vexing problem as there are no established guidelines for their management and multiple factors need to be considered to decide the appropriate strategy. We are reporting a case of bilateral ovarian dermoid cysts in a pregnant woman who presented towards the end of her third trimester and was managed by careful observation until the day of elective cesarean section and bilateral cystectomy. During surgery the team was surprised to discover a torsed dermoid cyst. The striking features of this case were the subtlety of clinical presentation and the absence of typical signs associated with ovarian torsion.




J Clin Gynecol Obstet. 2015;4(2):232-234
doi: http://dx.doi.org/10.14740/jcgo334w