Case Report
Multiple and Bilateral Dermoids: A Case Report

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Abstract

A 27-year-old nulliparous woman presented with pain in the lower abdomen for six months. She was diagnosed to have bilateral dermoid cysts. Ovarian dermoid tumors can be bilateral in up to 15% of cases. After laparoscopy, we found that she had 7 dermoid cysts on the left side and 2 dermoid cysts on the right side, which is a rare occurrence. All the dermoid cysts were enucleated laparoscopically. The cysts were placed in an endobag and retrieved by morcellation. A one year follow up showed no evidence of recurrence or granulomatous peritonitis.

Section snippets

Case Report

A 27-year-old nulliparous woman presented in October 2007 with pain in the lower abdomen for the previous 6 months. The pain was described as dull, aching, and nonradiating. There was no associated vaginal discharge, fever, dysuria, urinary frequency, or diarrhea. Her menses were regular, with no history of dysmenorrhea or menorrhagia. No significant medical or surgical history was noted.

On examination, her abdomen was soft with no rebound tenderness or guarding. The speculum examination showed

Discussion

Ovarian mature teratoma is a common germ cell neoplasm accounting for 15% to 45% of all ovarian tumors. The incidence of bilateralism varies from 10% to 15% Still the occurrence of multiple tumors within a single ovary has been infrequently described. A summation of 4 separate pathologic reviews comprising a total of 957 benign cystic teratomas yielded 9 instances of multiple ipsilateral ovarian teratomas (9%) 3, 7. Surti et al [8] used cytogenetic data to postulate 5 mechanisms of origin:

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