“… 9 – 10 Alternatively, patients may have abdominal symptoms, including abdominal pain, distension, and discomfort, typically intermittent and exacerbated following activity or meals, with symptom severity correlated with cyst size and location. 11 Some patients may exhibit mild symptoms of peritoneal irritation, such as tenderness or rebound pain, following cyst rupture, due to stimulation of the surrounding tissues by the contents of the cyst. 12 – 14 Retroperitoneal dermoid cysts in the abdominal region can also elicit gastrointestinal symptoms, such as indigestion, loss of appetite, nausea, vomiting, and, in cases involving the lower abdomen, constipation and rectal bleeding.…”