A Huge Ovarian Dermoid Cyst: Successful Laparoscopic Total Excision

Abstract

Giant ovarian cysts, ≥15 cm in diameter, are quite rare in women of reproductive age. Here, we present a case of ovarian cyst with unusual presentation treated by laparoscopic surgery. On histology, mass was found to be mature cystic teratoma. The diagnostic and management challenges posed by this huge ovarian cyst were discussed in the light of the literature.

Keywords: Huge ovarian cyst; Laparoscopy; Young woman.

[Table/Fig-1]:

a) Coronal; and b) Sagittal; images revealed a well-defined 15 x 15 x 10 cm left adnexal lesion involving the left ovary.

[Table/Fig-2]:

a) Axial fat saturated T2W; b) T1W; c) fat saturated T1W; and d) contrast enhanced fat saturated T1W images; demonstrated non enhanced with intralesional fat left ovarian cystic lesion.

[Table/Fig-3]:

a) Axial Diffusion W and b) Apparent Diffusion Coefficient (ADC) mapp; images show diffusion restricted area.

[Table/Fig-4]:

A huge cyst in left ovary.

[Table/Fig-5]:

Beginning of aspiration procedure of the cyst by veress needle.

[Table/Fig-6]:

Cyst wall excision harmonic scalpel (Ethicon, US).

[Table/Fig-7]:

Histopathological 100X view shows keratinized epidermis on surface and sebaceous glands in deeper.