English

Abstract

Immature teratoma accounts for 10 - 20% of all ovarian neoplasms in women less than 20 years of age with peak incidence between 15 - 19 years and they account for 30% of deaths arising from ovarian cancer in this age group. (1) Immature teratomas are rarely found to be bilateral, (2) Immature teratomas are malignant in nature and the most common sites of dessemination are peritoneum, retroperitoneal lymph nodes, hematogenous spread to Lung liver and brain is unusual.(3) We report a case of an immature teratoma of the ovary in a 14 year old girl who presented to us with acute pain abdomen. On examination patient was febrile, tachycardia present and abdominal rigidity was seen. Ultrasound examination showed a pelvic mass with fluid in morrisons pouch suggesting internal haemorrhage. Urine pregnancy test was done to rule out ectopic pregnancy. Patient was taken for emergency laparotomy. On laparotomy ruptured ovarian mass was seen with hemoperitoneum. Unilateral salpingo - oophorectomy was done and specimen sent for Histopathological examination which revealed immature ovarian teratoma stage I, Grade 3. Post- operative period was uneventful. Patient was referred to cancer centre for chemotherapy and further management. Patient was put on BEP regime.(Bleomycin Etoposide, Paclitaxal).on further follow up