Ruptured Ovarian Cystic Teratoma: A Rare Diagnosis, Easily to Be Confused with Peritoneal Carcinomatosis
Although ovarian cystic teratoma is the most common ovarian tumor, complications are quite rare. However, it is important to be recognized by the radiologist in order to avoid inaccurately diagnosing them as malignant lesions. This case report describes a 61-year-old postmenopausal woman, who presen...
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MDPI AG
2024-03-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/60/3/460 |
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| author | Dan Costachescu Alexandru Catalin Motofelea Daniel Malita Florica Birsasteanu Ioana Ionita Nadica Motofelea Cristina Ana-Maria Jura Ioana-Flavia Bacila Mihai Bacila Sorin Motoi |
| author_facet | Dan Costachescu Alexandru Catalin Motofelea Daniel Malita Florica Birsasteanu Ioana Ionita Nadica Motofelea Cristina Ana-Maria Jura Ioana-Flavia Bacila Mihai Bacila Sorin Motoi |
| author_sort | Dan Costachescu |
| collection | DOAJ |
| description | Although ovarian cystic teratoma is the most common ovarian tumor, complications are quite rare. However, it is important to be recognized by the radiologist in order to avoid inaccurately diagnosing them as malignant lesions. This case report describes a 61-year-old postmenopausal woman, who presented to the emergency room with abdominal pain following a minor blunt abdominal trauma. In this context, a CT scan was performed, which showed the presence of round, hypodense masses randomly distributed in the peritoneum, with coexisting ascites in moderate amount; ovarian carcinoma with peritoneal carcinomatosis was suspected. The patient was hospitalized and an MRI of the abdomen and pelvis was recommended for a more detailed lesion characterization. Following this examination, the patient was diagnosed with mature cystic ovarian teratoma complicated by rupture. Surgery was performed, and the outcome was favorable. The cases of ruptured cystic teratomas are rare, and to our knowledge, this is the first occurrence described in literature. Special attention must be paid when confronting with such a case in medical practice, since it can easily misdiagnosed as peritoneal carcinomatosis. |
| first_indexed | 2024-04-24T18:01:55Z |
| format | Article |
| id | doaj.art-b33eb344aed6462480a8881424605eb8 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-04-24T18:01:55Z |
| publishDate | 2024-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-b33eb344aed6462480a8881424605eb82024-03-27T13:53:43ZengMDPI AGMedicina1010-660X1648-91442024-03-0160346010.3390/medicina60030460Ruptured Ovarian Cystic Teratoma: A Rare Diagnosis, Easily to Be Confused with Peritoneal CarcinomatosisDan Costachescu0Alexandru Catalin Motofelea1Daniel Malita2Florica Birsasteanu3Ioana Ionita4Nadica Motofelea5Cristina Ana-Maria Jura6Ioana-Flavia Bacila7Mihai Bacila8Sorin Motoi9Radiology Department, University of Medicine and Pharmacy “Victor Babes” Timisoara, 300041 Timisoara, RomaniaDepartment of Internal Medicine, “Victor Babes” University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, RomaniaRadiology Department, University of Medicine and Pharmacy “Victor Babes” Timisoara, 300041 Timisoara, RomaniaRadiology Department, University of Medicine and Pharmacy “Victor Babes” Timisoara, 300041 Timisoara, RomaniaHematology Department, University of Medicine and Pharmacy “Victor Babes” Timisoara, 300041 Timisoara, RomaniaDepartment of Obstetrics and Gynecology, “Victor Babeş” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, RomaniaDepartment of Obstetrics and Gynecology, “Victor Babeş” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, RomaniaDepartment of Obstetrics and Gynecology, “Victor Babeş” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, RomaniaGinecology Department, City Emergency Hospital Timisoara, 300202 Timisoara, RomaniaRadiology Department, University of Medicine and Pharmacy “Victor Babes” Timisoara, 300041 Timisoara, RomaniaAlthough ovarian cystic teratoma is the most common ovarian tumor, complications are quite rare. However, it is important to be recognized by the radiologist in order to avoid inaccurately diagnosing them as malignant lesions. This case report describes a 61-year-old postmenopausal woman, who presented to the emergency room with abdominal pain following a minor blunt abdominal trauma. In this context, a CT scan was performed, which showed the presence of round, hypodense masses randomly distributed in the peritoneum, with coexisting ascites in moderate amount; ovarian carcinoma with peritoneal carcinomatosis was suspected. The patient was hospitalized and an MRI of the abdomen and pelvis was recommended for a more detailed lesion characterization. Following this examination, the patient was diagnosed with mature cystic ovarian teratoma complicated by rupture. Surgery was performed, and the outcome was favorable. The cases of ruptured cystic teratomas are rare, and to our knowledge, this is the first occurrence described in literature. Special attention must be paid when confronting with such a case in medical practice, since it can easily misdiagnosed as peritoneal carcinomatosis.https://www.mdpi.com/1648-9144/60/3/460ovarian cystic teratomacomplicationsruptureultrasoundcomputed tomographymagnetic resonance imaging |
| spellingShingle | Dan Costachescu Alexandru Catalin Motofelea Daniel Malita Florica Birsasteanu Ioana Ionita Nadica Motofelea Cristina Ana-Maria Jura Ioana-Flavia Bacila Mihai Bacila Sorin Motoi Ruptured Ovarian Cystic Teratoma: A Rare Diagnosis, Easily to Be Confused with Peritoneal Carcinomatosis Medicina ovarian cystic teratoma complications rupture ultrasound computed tomography magnetic resonance imaging |
| title | Ruptured Ovarian Cystic Teratoma: A Rare Diagnosis, Easily to Be Confused with Peritoneal Carcinomatosis |
| title_full | Ruptured Ovarian Cystic Teratoma: A Rare Diagnosis, Easily to Be Confused with Peritoneal Carcinomatosis |
| title_fullStr | Ruptured Ovarian Cystic Teratoma: A Rare Diagnosis, Easily to Be Confused with Peritoneal Carcinomatosis |
| title_full_unstemmed | Ruptured Ovarian Cystic Teratoma: A Rare Diagnosis, Easily to Be Confused with Peritoneal Carcinomatosis |
| title_short | Ruptured Ovarian Cystic Teratoma: A Rare Diagnosis, Easily to Be Confused with Peritoneal Carcinomatosis |
| title_sort | ruptured ovarian cystic teratoma a rare diagnosis easily to be confused with peritoneal carcinomatosis |
| topic | ovarian cystic teratoma complications rupture ultrasound computed tomography magnetic resonance imaging |
| url | https://www.mdpi.com/1648-9144/60/3/460 |
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