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Case Reports
. 2024 May 23:42:e00619.
doi: 10.1016/j.crwh.2024.e00619. eCollection 2024 Jun.

Omental mature cystic teratoma mimicking a mesenteric cyst: A case report

Affiliations
Case Reports

Omental mature cystic teratoma mimicking a mesenteric cyst: A case report

Fida Asali et al. Case Rep Womens Health. .

Abstract

Mature cystic teratomas (MCTs) arise from totipotent cells. While the ovaries are the most common sites, extragonadal teratomas are very rare. This case report describes the clinical details of a 20-year-old woman who was found to have a large pelvi-abdominal mass on clinical and imaging studies and elevated levels of CA-125. Because of the uncertainties of the origin of the mass, a multidisciplinary team suggested exploratory laparotomy with a mesenteric cyst as a differential diagnosis. Laparotomy showed both ovaries to be normal and revealed a large omental MCT, which was excised. Histopathology confirmed the diagnosis.

Keywords: Mesenteric cyst; Omental teratoma; Ovarian cyst; Teratoma.

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Figures

Fig. 1
Fig. 1
Post-contrast magnetic resonance image of the mass.
Fig. 2
Fig. 2
Laparotomy finding: normal uterus, ovaries, and both tubes.
Fig. 3
Fig. 3
Laparotomy finding: large cystic mass with feeding vessels arising from the omentum (the arrow).
Fig. 4
Fig. 4
The surface of the mass showing skin and hair.

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