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VOLUME 6 , ISSUE 2 ( July-December, 2018 ) > List of Articles


A Rare Case of “Large Twisted Dermoid Cyst” in an 82-year-old Lady with Diverticulitis and Septicemia: A Case Report

BC Manjula

Keywords : Diverticulitis, Septicemia, Twisted dermoid cyst

Citation Information : Manjula B. A Rare Case of “Large Twisted Dermoid Cyst” in an 82-year-old Lady with Diverticulitis and Septicemia: A Case Report. J South Asian Feder Menopause Soc 2018; 6 (2):132-134.

DOI: 10.5005/jp-journals-10032-1157

License: CC BY-NC 4.0

Published Online: 01-06-2019

Copyright Statement:  Copyright © 2018; The Author(s).


Dermoid cyst is a germ cell tumor. Eighty percent occurs during reproductive years. One to two percent undergoes malignant transformation. This is a case of a large dermoid cyst ovary measuring 10 × 12 cm in an 82-year-old lady who complained of acute on chronic pain abdomen associated with constipation. CT scan revealed a heterogeneous mass replacing ovary. Emergency laparoscopy done revealed a large collection of pus in peritoneal cavity filling POD and extending up to the subhepatic region with massively distended bowel loops. The right ovary was torted 3.5 times. To the best of our knowledge, this is the only case described in the literature of torsion ovary in a lady above the age of 80 years with diverticulitis managed laparoscopically.

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  1. Hoo WL, Yazbek J, et al. Expectant management of ultrasonically diagnosed ovarian dermoid cysts: is it possible to predict outcome?. Ultrasound in Obstetrics and Gynecology 2010;36(2):235-240.
  2. Gupta AK, Madan R, et al. Sonographic spectrum of ovarian dermoid. J Obstet Gynecol India 2005;55:170-173.
  3. Jitsumori M, Munakata S, et al. Malignant Transformation of Mature Cystic Teratoma Diagnosed after a 10-Year Interval. Case reports in obstetrics and gynecology. 2017;2017:90-92.
  4. Williams JB, Orr SC. An unusual presentation of a right ovarian dermoid cyst. J Emerg Med 2011;41(3):296-297.
  5. Kakani A, Bannerjee I, et al. A Huge Dermoid Cyst in Postmenopausal Women with Third Degree Uterine Prolapse. J South Asian Feder Menopause Soc 2013;1(1):43-44.
  6. Ozturk N, Sok FC. Laparoscopic management of ovarian dermoid cysts: a review of 47 cases. Ann Saudi Med 2004;24(5):357-360.
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