Background: Mature cystic teratomas (dermoid cysts) are most frequently seen in the reproductive age-group. Torsion is the most common complication of dermoid cysts, with detachment from the adnexa in rare circumstances.
Case description: A 38-year-old patient presented with dull pain in right lower abdominal region. Tenderness was elicited in the right iliac fossa with right forniceal fullness on per vaginal examination. The ultrasound diagnosis of a mature cystic teratoma was confirmed on computerized tomography. Laparoscopy showed torsion of the right adnexa, with the dermoid cyst seen detached and within the pouch of Douglas. The wandering dermoid cyst was removed laparoscopically, en masse using an endobag without spillage.
Conclusion: The rare possibility of detachment of the dermoid cyst with or without the entire ovary exists in cases of torsion necessitating recognition and appropriate surgical removal.
Bartlett CE, Khan A, Pisal N. Parasitic dermoid cyst managed laparoscopically in a 29-year-old woman: A case report. J Med Case Rep 2009;3:63. DOI: 10.1186/1752-1947-3-63.
Khoo CK, Chua I, Siow A, et al. Parasitic dermoid cyst of the pouch of Douglas: A case report. J Minim Invasive Gynecol 2008;15(6):761–763. DOI: 10.1016/j.jmig.2008.07.014.
Lefkowitch JH, Fenoglio CM, Richart RM. Benign cystic teratoma of the retrouterine pouch of Douglas. Am J Obstet Gynecol 1978;131(7):818–820. DOI: 10.1016/0002-9378(78)90258-2.
Jain PG, Shukla A, Raikwar P. Parasitic dermoid cyst. Int J Med Health Res 2017;3(9):90–92.
Yasmin G, Agrawal J, Kumar A. Wandering dermoid cyst of ovary causing obstructed labor-A Case Report. J Evol Med Dent Sci 2014; 3(5):1146–1148. DOI: 10.14260/jemds/2014/1958.
Hay D, Biswas B, Dasgupta J. Fimbrial dermoid cyst with elevated CA19-9 levels: A case report. Case Rep Womens Health 2019;24:e00156. DOI: 10.1016/j.crwh.2019.e00156.
Wahba AH. Unreported location and presentation for a parasitic ovarian dermoid cyst: A case report. Middle East Fertil Soc J 2010;15(3):216–218. DOI: 10.1016/j.mefs.2010.06.004.
Wani BN, Rathod V, Banode P, et al. An omental teratoma in a young girl. Clin Pract 2011;1(4):e129. DOI: 10.4081/cp.2011.e129.
Chen HJ, Hsieh BC, Pan HS, et al. Dermoid cyst of the retrouterine pouch of Douglas. Taiwanese J Obstet Gynecol 2004;43(4):226–228. DOI: 10.1016/S1028-4559(09)60092-9.
Peitsidou A, Peitsidis P, Goumalatsos N, et al. Diagnosis of an autoamputated ovary with dermoid cyst during a cesarean section. Fertil Steril 2009;91(4):1294,e9–e12. DOI: 10.1016/j.fertnstert.2008.12.029.
Saini SR, Jindal P, Pachauri P, et al. Parasitic dermoid cyst: Obstructed labor. New Indian Journal of OBGYN. 2016;3(1):58–60. DOI: 10.21276/obgyn.2016.3.1.12.