Intrauterine ovarian dermoid cyst complicated by torsion: an uncommon presentation of abdominal mass in a neonate

Fetal ovarian cysts are the most common abdominal masses in the female fetuses and believed to be caused by in utero exposure of fetus to maternal and placental hormones. Majority of them are diagnosed in third trimester and should be distinguished from other causes of abdominal masses of genitourinary and gastrointestinal origin. Once diagnosed serial ultrasound monitoring is recommended to document changes in size or appearance. Complications like torsion or rupture merit careful assessment and surgical intervention to preserve ovarian function and fertility. We report a case of intrauterine ovarian dermoid cyst complicated by torsion, which was diagnosed prenatally on ultrasound as complex cystic lesion within the abdomen.

Struma ovarii and peritoneal strumosis during pregnancy

Background Struma ovarii is a special type of ovarian dermoid cyst and accounts for approximately 2–3 % of all dermoid tumours. Benign struma ovarii may manifest as distant metastasis, called peritoneal strumosis, which makes it biologically similar to malignancy, and has been reported in limited cases but never discovered during pregnancy. Case presentation We report a patient with a history of right struma ovarii cystectomy. During pregnancy, pelvic masses with non-specific clinical presentation were found again. During the caesarean section, contralateral struma ovarii with dissemination of nodules in the peritoneal cavity was found, and pathology revealed that the masses were thyroid follicle ovarian goitres. Discussion and conclusions Recurrent benign struma ovarii with extraovarian dissemination is a rare aggressive clinical manifestation different from malignancy. It is emphasized that adequate assessment and complete resection of suspicious masses are of great importance.

CLINICAL CASE OF SQUAMOUS CELL CARCINOMA OF OVARIAN DERMOID CYST

Cases of squamous cell carcinoma of the dermoid cyst of the ovaries are rare in comparison with other pathological processes of the ovaries, which is why they are of great interest not only to medical scientists who face such cases, but also for targeted medical cooperation. We review the literature, publications and one clinical case so that specialists who come into contact with it have a clearer idea of ​​the course of the disease, its morphological aspects, which in the future will facilitate the diagnosis. The problem of this pathology is an example of discussion, and therefore the number of scientific works of our foreign colleagues is devoted to it.

An Ovarian Dermoid Cyst in Pregnancy: A Rare Cause of Intrauterine Growth Restriction

The most common ovarian tumour presenting during pregnancy are dermoid cysts, usually present in the second trimester. Mostly dermoid cysts are diagnosed during ultrasound in antenatal period. We report a case of large unilateral dermoid cyst which was missed in all USG done in antenatal period but diagnosed intra-operatively while performing caesarean section for Intra uterine growth restriction (IUGR) with fetal distress. Ovarian cystectomy was done and remaining ovarian tissues were preserved. The large dermoid cyst hampered the proper growth of the fetus in utero leading to IUGR and fetal distress. Ovarian dermoid cyst in antenatal period, a rare cause of IUGR and its successful management prompted us to report this case.