Images in clinical medicine | Volume 37, Article 191, 29 Oct 2020 | 10.11604/pamj.2020.37.191.26328

Large bilateral ovarian cysts with left ovarian torsion and right dermoid cyst

Sara Ait Souabni, El Habib Belhaddad

Corresponding author: Sara Ait Souabni, Faculty of Medicine and Pharmacy of Marrakech, Cadi Ayyad University, Marrakesh, Morocco

Received: 30 Sep 2020 - Accepted: 10 Oct 2020 - Published: 29 Oct 2020

Domain: Gynecology

Keywords: Torsion, dermoid cyst, case report

©Sara Ait Souabni et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Sara Ait Souabni et al. Large bilateral ovarian cysts with left ovarian torsion and right dermoid cyst. Pan African Medical Journal. 2020;37:191. [doi: 10.11604/pamj.2020.37.191.26328]

Available online at: https://www.panafrican-med-journal.com/content/article/37/191/full

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Images in clinical medicine

Large bilateral ovarian cysts with left ovarian torsion and right dermoid cyst

Large bilateral ovarian cysts with left ovarian torsion and right dermoid cyst

Sara Ait Souabni1,&, El Habib Belhaddad1

 

1Faculty of Medicine and Pharmacy of Marrakech, Cadi Ayyad University, Marrakesh, Morocco

 

 

&Corresponding author
Sara Ait Souabni, Faculty of Medicine and Pharmacy of Marrakech, Cadi Ayyad University, Marrakesh, Morocco

 

 

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We report the case of a 19-year-old patient, with medical history of hypothyroidism and nulligravida, who presented with acute pelvic pain progressing for 5 days. On clinical examination, the patient was stable and had pelvic tenderness. The speculum and vaginal examination were not performed on account of the patient being a virgin. A pelvic magnetic resonance imaging (MRI) was performed showing a cystic right ovarian lesion measuring 9.7 x 7 x 6 cm of benign appearance with swollen ovary probably related to a torsion; associated with a left ovarian lesion measuring 10 x 10 x 6 cm with a double cystic and fatty component in favor of a dermoid cyst (A,B,C). Surgical exploration showed two large bilateral ovarian cysts (D). The right ovary was the site of 3-whirl torsional ischemia. The left ovary presented with a large cyst with a fatty and fluid cartilaginous component (E). The uterus was unicorn with the presence of a rudimentary straight horn. The operative procedure consisted of a bilateral cystectomy with right salpingectomy in order to avoid an ectopic pregnancy on a rudimentary horn. The right ovary revascularized after untwisting and the postoperative course was normal.

 

 

Figure 1: A) transverse pelvic MRI showing two bilateral ovarian cystics with torsion on the right and aspect of dermoid cyst on the left; B) sagittal pelvic MRI showing two bilateral ovarian cystics with torsion on the right and aspect of dermoid cyst on the left; C) frontal pelvic MRI showing two bilateral ovarian cystics with torsion on the right and aspect of dermoid cyst on the left; D) two large bilateral ovarian cysts with right ovarian ischemia and left dermoid cyst; E) left dermoid cyst after cystectomy

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Images in clinical medicine

Large bilateral ovarian cysts with left ovarian torsion and right dermoid cyst

Images in clinical medicine

Large bilateral ovarian cysts with left ovarian torsion and right dermoid cyst

Images in clinical medicine

Large bilateral ovarian cysts with left ovarian torsion and right dermoid cyst