Abstract

Intraperitoneal rupture of cystic ovarian teratoma is a rare complication. We report a case in a 29-year-old female, with increased abdominal circumference 2 months after vaginal delivery. MRI/CT raised this diagnosis associated to chemical peritonitis. A malignant ovarian mass with peritoneal carcinomatosis was excluded. Laparoscopic oophorectomy was performed and histologic analysis confirmed imaging findings. This case demonstrates the interest of imaging before surgery in pelvic masses to avoid misdiagnosing and to provide adequate treatment.

Highlights

  • Mature cystic teratoma of the ovary is the most common ovarian neoplasm, accounting for between 5 and 25% of all ovarian tumors

  • A CT scan was obtained to confirm the diagnosis of delivery induced intraperitoneal rupture of a cystic ovarian teratoma and associated chronic chemical peritonitis (Figure 2)

  • The word teratoma is derived from the Greek word Terato meaning monster

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Summary

Introduction

Mature cystic teratoma of the ovary is the most common ovarian neoplasm, accounting for between 5 and 25% of all ovarian tumors. It occurs most commonly in young females and is bilateral in 8–15% of cases. A CT scan was obtained to confirm the diagnosis of delivery induced intraperitoneal rupture of a cystic ovarian teratoma and associated chronic chemical peritonitis (Figure 2).

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