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Torsion of a Large Ovarian Dermoid Cyst in Third Trimester Pregnancy: A Case Report |
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Yugandhar Samireddypalle, Hira Muhammed, Sairem Mangolnganbi Chanu, R Poongodi 1. Assistant Professor, Department of Radiodiagnosis, AIIMS, Mangalagiri, Andhra Pradesh, India. 2. Junior Resident, Department of Radiodiagnosis, AIIMS, Mangalagiri, Andhra Pradesh, India. 3. Associate Professor, Department of Obstetrics and Gynaecology, AIIMS, Mangalagiri, Andhra Pradesh, India. 4. Assistant Professor, Department of Pathology, AIIMS, Mangalagiri, Andhra Pradesh, India. |
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Correspondence Address : Dr. Hira Muhammed, Junior Resident, Department of Radiodiagnosis, AIIMS, Mangalagiri, Andhra Pradesh-522503, India. E-mail: hiramea007@gmail.com |
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ABSTRACT | |||||||
: Dermoid cysts are the most frequent ovarian tumours among women of reproductive age, constituting a notable 20% of all adult ovarian tumours. They are typically lined by stratified squamous epithelium and contain dermal and epidermal elements. During pregnancy, dermoid cysts are more likely to lead to infection, rupture and torsion. A 23-year-old multigravida (G2P1L1) female at 36 weeks of gestation presented with complaints of left lumbar pain persisting for one day, unrelieved by medication. Ultrasound (USG)revealed a multiloculated septated cystic lesion in the left lumbar region adjacent to the gravid uterus, just anteroinferior to the left kidney. Magnetic Resonance Imaging (MRI) showed a predominantly fat-density multiloculated cystic lesion with twisting of the pedicle. An emergency laparotomy was performed, and the left ovarian cyst was removed, revealing patchy discolored areas of gangrene, and a live healthy foetus was delivered. While torsion of an ovarian cyst is a well-known complication, its presentation during pregnancy is rare. Due to the variable symptoms of ovarian torsion, the clinical presentation can be quite confusing. Therefore, both the obstetrician and radiologist should have a lower threshold for clinical suspicion of torsion in pregnancy, enabling prompt diagnosis and management of such cases to prevent both maternal and foetal mortality. | |||||||
Keywords : Adnexae, Magnetic Resonance Imaging, Neoplasm, Teratoma, Twisting, Ultrasound | |||||||
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DOI and Others :
DOI: 10.7860/IJARS/2024/68584:2977
Date of Submission: Nov 11, 2023 Date of Peer Review: Jan 04, 2024 Date of Acceptance: Feb 06, 2024 Date of Publishing: Mar 01, 2024 Author declaration: • Financial or Other Competing Interests: None • Was Ethics Committee Approval Obtained for this study? Yes • Was informed consent obtained from the subjects involved in the study? Yes • For any images presented appropriate consent has been obtained from the subjects. Yes PLAGIARISM CHECKING METHODS: • Plagiarism X-checker: Nov 17, 2023 • Manual Googling: Jan 03, 2024 • iThenticate Software: Feb 05, 2024 (8%) Etymology: Author Origin Emendations: 6 |
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Case report
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