BILATERAL OVARIAN DERMOID CYST WITH LEFT OVARIAN TORSION IN PREMENARCHAL GIRL: A CASE REPORT

Payal Saini* and Jagriti Jangra

ABSTRACT

Objective: Ovarian dermoid cyst is the most common neoplasm of the ovary and prevalent in the reproductive years, where they account for 43-70% of all benign ovarian neoplasms. Among complications that can be seen in cystic teratomas major one is torsion, causing severe pain, nausea, and tissue necrosis. In this case report, we present a rare occurrence of bilateral ovarian cyst with left cyst torsion in a 10-year-old adolescent girl. Case report: A 10-year-old girl child presented with the symptoms of abdominal pain with complaints of pain abdomen and associated with complaints of vomiting. On CECT there was e/o two cystic dermoid seen in abdomen and pelvis with bilateral ovaries not separately visualized. Exploratory laparotomy proceeded detorsion of left partial rotated ovarian cyst with B/L ovarian cystectomy with B/L ovariopexy done. Histopathological findings are of Mature cystic teratoma of bilateral ovaries with infarction in left ovarian cyst. Discussion: The incidence of bilateral dermoid cyst of the ovary is 10%. But there are only a few cases in literature of bilateral dermoid cyst of ovary in young individuals less than 21 years, in our case in a 10 yr old girl. Conclusion: Bilateral ovarian cyst teratomas in adolescent girls are quite rare and can lead to torsion of cyst and subsequent effects on fertility.

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