Diagnosis of an autoamputated ovary with dermoid cyst during a Cesarean section

Torsion, Autoamputation, and Reimplantation of Viable Ovarian Dermoid Cyst

“…In one case the dermoid was found during a cesarean delivery. 3 The patient reported a remote history of severe abdominal pain as an adolescent that resolved but was never diagnosed. During the cesarean section, the ovary, the dermoid, and a portion of the fallopian tube were found enveloped in the omentum, from which the ovary obtained its vascular supply.…”

“…1 Extremely rare is the case in which a viable ovary is found in the posterior cul-de-sac in an adult. [1][2][3] This case involves a woman with a history of abdominal pain for 1 year who was found on diagnostic laparoscopy to have a mature cystic teratoma that had undergone autoamputation with viable ovarian tissue adherent to the posterior cul-de-sac, attached to a viable fimbriated portion of the fallopian tube.…”

Autoamputación anexial por torsión de masa ovárica

“…La autoamputación ovárica puede encontrarse como hallazgo incidental durante el estudio de una enfermedad, por ecografía o durante una cirugía pudiendo localizarse como una masa libre en la cavidad peritoneal (1). Su incidencia no se puede estimar con precisión debido a que varios casos de autoamputación son asintomáticos (2). Se describe un caso de autoamputación anexial diagnosticado incidentalmente durante una laparoscopia y se realiza una revisión de la literatura.…”

A stone‐like ovarian dermoid cyst in the Douglas' Pouch of an elderly woman

“…). Of these, four cases were ovarian dermoid cysts 4–7 and three cases were autoamputated 4,6,7 . When an autoamputated dermoid cyst slips into the Douglas' Pouch, it is expected that it will adhere to the surrounding structures due to either implantation, resulting in a new blood supply, or foreign body reaction, creating a foreign‐body granuloma.…”

“…When an autoamputated dermoid cyst slips into the Douglas' Pouch, it is expected that it will adhere to the surrounding structures due to either implantation, resulting in a new blood supply, or foreign body reaction, creating a foreign‐body granuloma. In particular, since the greater omentum has a defensive role in intra‐abdominal inflammation and considerable angiogenic capacity, 9 it allows adhesion and implantation of an ovarian dermoid cyst accompanied by the development of new blood vessels 6 . Although apparent communication to other pelvic organs was not observed in two of the three cases of autoamputated dermoid cysts found at the Douglas' Pouch, 4,7 some sorts of adhisions were observed in all of them and suggested receiving a blood supply from capillary vessels 4 .…”