Fertility in multiple recurrent bilateral ovarian teratomas: A case report

Very few cases of bilateral and recurrent teratomas have been reported. We present the case of a 21-year-old nulliparous female who presented to an outside facility complaining of left flank pain and was found to have bilateral ovarian teratomas. The physician proceeded with a laparotomy. Five years...

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Main Authors: Maroun Bou Zerdan, Youssef Bouferraa, Raffi Boyrazian, Rana Skaf
Format: Article
Language:English
Published: SAGE Publishing 2022-01-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X221074471
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author Maroun Bou Zerdan
Youssef Bouferraa
Raffi Boyrazian
Rana Skaf
author_facet Maroun Bou Zerdan
Youssef Bouferraa
Raffi Boyrazian
Rana Skaf
author_sort Maroun Bou Zerdan
collection DOAJ
description Very few cases of bilateral and recurrent teratomas have been reported. We present the case of a 21-year-old nulliparous female who presented to an outside facility complaining of left flank pain and was found to have bilateral ovarian teratomas. The physician proceeded with a laparotomy. Five years later, the patient presented to our facility complaining of abdominal pain. Imaging revealed a second incidence of bilateral dermoid cysts for which she underwent a bilateral laparoscopic cystectomy. The patient retained her fertility and was able to deliver a newborn 2 years later. At the age of 31, and during a regular check-up, the patient was found again to have a third incidence of bilateral dermoid cysts for which she underwent bilateral laparoscopic cystectomy with preservation of her ovaries. In conclusion, laparoscopic removal of dermoid cysts is of utmost importance to retain the fertility of young patients. Regular check-up by ultrasound post-operatively is necessary to screen for recurrences and prevent painful presentations.
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spelling doaj.art-804b6259a7434187a2bbc1679387992a2022-12-21T17:48:24ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2022-01-011010.1177/2050313X221074471Fertility in multiple recurrent bilateral ovarian teratomas: A case reportMaroun Bou Zerdan0Youssef Bouferraa1Raffi Boyrazian2Rana Skaf3Department of Obstetrics and Gynecology, Faculty of Medicine, University of Balamand, Beirut, LebanonDepartment of Obstetrics and Gynecology, Faculty of Medicine, University of Balamand, Beirut, LebanonDepartment of Pathology, Saint George Hospital University Medical Center, Beirut, LebanonDepartment of Obstetrics and Gynecology, Saint George Hospital University Medical Center, Beirut, LebanonVery few cases of bilateral and recurrent teratomas have been reported. We present the case of a 21-year-old nulliparous female who presented to an outside facility complaining of left flank pain and was found to have bilateral ovarian teratomas. The physician proceeded with a laparotomy. Five years later, the patient presented to our facility complaining of abdominal pain. Imaging revealed a second incidence of bilateral dermoid cysts for which she underwent a bilateral laparoscopic cystectomy. The patient retained her fertility and was able to deliver a newborn 2 years later. At the age of 31, and during a regular check-up, the patient was found again to have a third incidence of bilateral dermoid cysts for which she underwent bilateral laparoscopic cystectomy with preservation of her ovaries. In conclusion, laparoscopic removal of dermoid cysts is of utmost importance to retain the fertility of young patients. Regular check-up by ultrasound post-operatively is necessary to screen for recurrences and prevent painful presentations.https://doi.org/10.1177/2050313X221074471
spellingShingle Maroun Bou Zerdan
Youssef Bouferraa
Raffi Boyrazian
Rana Skaf
Fertility in multiple recurrent bilateral ovarian teratomas: A case report
SAGE Open Medical Case Reports
title Fertility in multiple recurrent bilateral ovarian teratomas: A case report
title_full Fertility in multiple recurrent bilateral ovarian teratomas: A case report
title_fullStr Fertility in multiple recurrent bilateral ovarian teratomas: A case report
title_full_unstemmed Fertility in multiple recurrent bilateral ovarian teratomas: A case report
title_short Fertility in multiple recurrent bilateral ovarian teratomas: A case report
title_sort fertility in multiple recurrent bilateral ovarian teratomas a case report
url https://doi.org/10.1177/2050313X221074471
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