Unique coincidence of ovarian and tubal teratoma

An extremely rare coincidence, never described before, of an ovarian and tubal teratoma.

Figure 1: Laparoscopy in a 34-year-old woman shows an enlarged right ovary. A preoperative ultrasound was suggestive of a teratoma. The history of the patient included a laparoscopy at the age of 23 years for a hemorrhagic corpus luteum cyst on her right side. Since then, she had used the oral contraceptive pill. After opening of the ovarian cortex, the cyst was removed.

Figure 2: Further inspection showed distension of the right tuba. As the cause was unknown and tubal functionality was doubtful, a salpingectomy was performed.

Figure 3: A cystic tumour was removed from the right tube. On histological investigation, the tumours were diagnosed as respectively an ovarian and tubal mature cystic teratoma