Rupture of a mature cystic teratoma in a young girl caused by a car accident: an extremely rare case and review of the literature

• Main Authors: Dimitrios Tsapralis, Anastasia Prodromidou, Georgios Vasiliadis, Chrysovalantis Vergadis, Nikolaos Machairas, Athanasios Syllaios, Evangelos Misiakos, Dimitrios Schizas
• Format: Article
• Language: English
• Published: Pensoft Publishers 2021-06-01
• Series: Folia Medica
• Subjects: blunt trauma; dermoid cyst; mature cystic teratoma
• Online Access: https://foliamedica.bg/article/55388/download/pdf/

Mature cystic teratomas (MCT) of the ovary or dermoid cysts are commonly encountered benign ovarian lesions accounting for  approximately 70% of benign tumors and originating from germ cells. A rare case of peritonitis in a 17-year-old female patient caused by traumatic rupture of an MCT of the right ovary is herein presented. A meticulous search of the literature has also been performed. Due to deterioration of patient’s clinical condition, she was urgently led to surgery and intraoperative investigation of the peritoneal cavity revealed an inflamed ruptured ovarian cyst along with extensive peritoneal adhesions and purulent peritoneal fluid. A cyst resec-tion was performed with preservation of the ovary followed by adhesiolysis and meticulous abdominal washing and the patient had an uneventful recovery. Despite its rarity, traumatic rupture of ovarian cyst should be considered at evaluation of trauma patients with special attention to cases with a discovered or known presence of ovarian cyst.