- Open Access
Avoiding the bowel: a report of a mature cystic teratoma displaying fully developed intestinal tissue protruding from an ovarian tumor
© Springer-Verlag 2009
- Received: 30 October 2009
- Accepted: 23 November 2009
- Published: 23 December 2009
We present a previously unreported case of a grossly visible, fully developed intestinal segment protruding from an ovarian teratoma.
- Mature cystic teratoma
Ovarian teratomas arise from a single germ cell and may contain any three germ layers—ectoderm, mesoderm, or endoderm. Consequently, these tumors contain a haphazard collection of tissue such as hair, fat, bone, and teeth . Recently, authors have identified interesting intestinal associations with ovarian teratomas. Kwon et al. reported a grossly visible, well-organized intestinal loop with mesentery arising in a mature cystic teratoma concurrent with a malignant mixed germ cell tumor and yolk sac tumor in the same ovary , and Tang et al. reported a mature cystic teratoma of the ovary containing complete colonic wall in continuity with an endocervical-type mucinous cystadenoma . We now present a previously unreported case of a grossly visible, fully developed intestinal segment protruding from a mature cystic ovarian teratoma concurrent with a mucinous cystadenoma.
A 45-year-old, gravida 4, para 2, abortus 2, morbidly obese Hispanic female presented desiring permanent sterilization. Her past medical history was significant for hypertension and prior ectopic pregnancy treated via laparotomy. The patient was deemed an appropriate candidate for laparoscopic tubal sterilization. At the time of laparoscopy, significant pelvic adhesive disease was encountered, and a complex right ovarian mass of indeterminate size was discovered. Laparotomy was performed secondary to extensive adhesions. Findings were: (1) an approximate 12-cm mass grossly consistent with a benign mature cystic teratoma, (2) a 10 × 0.5 cm tubular structure, which exited the mass, blindly terminated into the greater omentum, and had the gross appearance of intestinal tissue and without communication to bowel, and (3) normal appearing appendix. The mass and appendage were completely excised at their respective margins. Filshie clips were applied to the right and left fallopian tubes. The patient's postoperative course was unremarkable.
Conflict of interest
We declare that we have no conflict of interest.
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