Dermoid cysts of the ovary are one of the most common ovarian neoplasms, but parasitic dermoid cysts as well as coexistent dermoid cysts are unusual. Almost all reports of coexistent dermoid cysts involve the omentum and ovary, but our case involved the pouch of Douglas and ovary. We managed this case by laparoscopy.
Our hospital was established 6 years ago as an institution that specializes in the laparoscopic surgery. A recent increase has been observed in the number of women who develop multiple and giant uterine myomas, indicating the need to react according to each case. In this report we present a method of laparoscopically assisted hysterectomy that we introduced as a countermeasure against multiple and giant uterine myomas. We review and compare the 312 cases of laparoscopic hysterectomy that we have performed and discuss on the selection of operation method based on the review. Further experience and technical improvements in laparoscopic hysterectomy based on each case will lead to improved safety and proper indications.
Objectives: The objectives of this study were to discuss the disease state and recent topics related to the redevelopment of an ovarian cyst after the treatment of anti-N-methyl-D-aspartate (NMDA) receptor encephalitis. Herein, we present a case report with its postoperative course, and describe the problems in patients who redevelop ovarian cyst with no symptoms of encephalitis.Case: The subject developed anti-NMDA receptor encephalitis, for which abdominal surgery for bilateral resection of an ovarian cyst was performed. While the patient was discharged from the hospital 3 months post-surgery, after the encephalitis symptoms had improved, the ovarian cyst subsequently redeveloped, and thus laparoscopic resection of the ovarian cyst on the affected side was performed in our hospital. Redevelopment of an ovarian cyst was confirmed again on the same side 2 years after the surgery performed in our hospital.
Conclusion:Although redevelopment of encephalitis has been reported in patients with anti-NMDA receptor encephalitis, no therapeutic methods have been established for the redeveloped ovarian cyst in the absence of encephalitis symptoms.Since its pathological conditions have become more widely recognized, it is expected that more cases will accumulate, thus allowing further discussion and the establishment of therapeutic policies for the redeveloped ovarian cyst.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.