Intraperitoneal rupture of benign cystic teratoma

Bhatla, Neerja; Khanna, R.; Bhargava, V.

doi:10.1016/0020-7292(93)90380-f

Cited by 12 publications

(4 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Acute peritonitis caused by sudden rupture of tumor contents may result in acute abdominal crisis and shock, and is usually associated with torsion, trauma, infection, labor, or physical exercise [3,6]. Chronic granulomatous peritonitis, which is more common than acute episode, results from a tiny perforation and slow leakage from a breach in the cyst wall [7]. The symptoms and signs might be subtle and marginal in the early period, however, the patient would complain of progressive abdominal distention, low abdominal pain, and gastrointestinal disturbances such as anorexia, nausea, vomiting, and diarrhea [4].…”

Section: Discussionmentioning

confidence: 99%

Persistent chemical peritonitis resulting from spontaneous rupture of an ovarian mature cystic teratoma

Yang

Song

Bang

et al. 2011

Korean J Obstet Gynecol

View full text Add to dashboard Cite

Spontaneous rupture of mature cystic teratoma occurs rarely, but may lead to a chemical peritonitis. Once rupture of mature cystic teratoma is diagnosed, immediate surgical intervention is necessary. Removal of ruptured ovarian cystic teratoma and copious lavage of abdominal cavity are usually suffi cient to prevent prolonged chemical peritonitis. We report here a rare case of spontaneously ruptured ovarian cystic teratoma diagnosed by computed tomography scan obtained before and after the rupture, and in which chemical peritonitis lasted over 2 months after surgery.Keywords: Mature cystic teratoma; Spontaneous rupture; Chemical peritonitis Received: 2011. 5.30. Revised: 2011. 8. 9. Accepted: 2011 Th is is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2011. Korean Society of Obstetrics and GynecologyMature cystic teratomas are the most common ovarian tumors, accounting for 20% of adult ovarian tumors and 50% of pediatric ovarian tumors. The most frequent complication of an ovarian mature cystic teratoma is torsion, but rupture occurs rarely with an estimated incidence of 0.3-2.5% [1,2]. Its spontaneous or iatrogenic intraperitoneal rupture may lead to a chemical peritonitis. We report a case of intraperitoneal rupture of an ovarian mature cystic teratoma, diagnosed by repeated computed tomography (CT) at short intervals, and resultant chemical peritonitis which persisted for over 2 months after surgery. Case ReportA 50-year-old woman, gravida 3, para 2, presented to our emergency room with several hours history of abdominal pain and nausea. On physical examination, she was afebrile and vital signs were stable. Abdominal examination revealed mild tenderness in lower abdomen. No obvious muscle guarding or rebound tenderness was noted. Total white blood cell count was 12,980/mm 3 and C-reactive protein (CRP) was 12.9 mg/dL. Abdominal CT scan showed cystic mass measuring 4.2 cm in maximal diameter with fat-fl uid level in left adnexa, suggestive of a cystic teratoma, and small amount of ascites in pelvic cavity (Fig. 1A). No other abnormalities suspicious of torsion or rupture of a cystic teratoma were found. Diagnostic laparoscopy had been recommended for further evaluation, but she signed herself out of the hospital against medical advice for personal reasons. Two days later, she readmitted to the emergency room with progressively worsening abdominal pain. Physical examination revealed a distended abdomen with marked tenderness and rebound tenderness in the lower abdomen. The body temperature was elevated to 38.8 o C.The serum CRP rose to 33.4 mg/dL. Serum CA 19-9 was 75.6 U/ CASE REPORT Korean J Obstet Gynecol 2011;54(11):726-730 http://dx

show abstract

Section: Discussionmentioning

confidence: 99%

Persistent chemical peritonitis resulting from spontaneous rupture of an ovarian mature cystic teratoma

Yang

Song

Bang

et al. 2011

Korean J Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…Due to continuous growth and possible complications, namely spontaneous rupture, torsion, infection and malignancy, dermoid cysts should be surgically removed. The risk that sebaceous and hairy material spillage could cause granulomatous peritonitis [14] led to the conclusion that dermoid cysts had to be removed intact [15]. Until recently, dermoid cysts were removed by laparotomy, but nowadays there is really no safe method to avoid spillage, particularly when performing a cystectomy.…”

Section: Discussionmentioning

confidence: 99%

A Modified Technique to Reduce Spillage and Operative Time: Laparoscopic Ovarian Dermoid Cyst Enucleation ‘in a Bag’

Campo

2010

Gynecol Obstet Invest

View full text Add to dashboard Cite

Background: To describe the outcomes of a modified technique for conservative laparoscopic enucleation of ovarian dermoid cyst, placing the ovary in an endobag during enucleation to prevent intraperitoneal spillage. Methods: Laparoscopic dermoid cyst enucleation was performed in 35 cases of premenopausal patients placing the ovary in an endobag at the beginning of the procedure and removing the cyst from the abdominal cavity by the same endobag. Results: Dermoid cysts with a mean diameter of 6.3 ± 2.7 cm were enucleated and removed laparoscopically ‘in a bag’ without intra- or postoperative complications. Cyst rupture occurred in 10 cases (28.5%), but evident peritoneal contamination occurred in only 2 (5.7%; 95% confidence interval: 0.7–19.2%), because in 8 patients spillage was contained by the surrounding bag. The mean operative time was 64.6 ± 27 min. No signs or symptoms of peritonitis were observed. The mean postoperative hospitalization was 1.6 ± 1.4 days. Among the 12 infertile patients, 7 spontaneous pregnancies (58%) occurred. Conclusions: Laparoscopic conservative excision of dermoid cysts placing the ovary in an endobag at the beginning of surgery and removing the cyst by the same bag is a safe and effective approach to reduce intraperitoneal spillage and operative time.

show abstract

“…Mature teratomas are common benign neoplasms from which patients are typically asymptomatic ( Suprasert et al, 2004 ). Spontaneous rupture is uncommon, reported to occur in less than one percent of cases ( Suprasert et al, 2004 , Bhatla et al, 1993 ). Rupture of mature teratomas may be acute and associated with chemical peritonitis rarely resulting in shock, or chronic with slow, continuous leakage of cyst contents ( Suprasert et al, 2004 , Bhatla et al, 1993 ).…”

Section: Introductionmentioning

confidence: 99%

“…Spontaneous rupture is uncommon, reported to occur in less than one percent of cases ( Suprasert et al, 2004 , Bhatla et al, 1993 ). Rupture of mature teratomas may be acute and associated with chemical peritonitis rarely resulting in shock, or chronic with slow, continuous leakage of cyst contents ( Suprasert et al, 2004 , Bhatla et al, 1993 ). In cases of chronic rupture, patients may develop progressive abdominal distension, gastrointestinal disturbances, anorexia, and a granulomatous peritoneal reaction that may mimic advanced ovarian malignancy ( Suprasert et al, 2004 , Bhatla et al, 1993 , Phupong et al, 2004 ).…”

Section: Introductionmentioning

confidence: 99%

Management of ruptured ovarian teratoma mimicking advanced ovarian cancer

Jane Chua,

Barr,

Prints

et al. 2024

Gynecologic Oncology Reports

View full text Add to dashboard Cite

Intraperitoneal rupture of benign cystic teratoma

Cited by 12 publications

References 3 publications

Persistent chemical peritonitis resulting from spontaneous rupture of an ovarian mature cystic teratoma

Persistent chemical peritonitis resulting from spontaneous rupture of an ovarian mature cystic teratoma

A Modified Technique to Reduce Spillage and Operative Time: Laparoscopic Ovarian Dermoid Cyst Enucleation ‘in a Bag’

Management of ruptured ovarian teratoma mimicking advanced ovarian cancer

Contact Info

Product

Resources

About