Remote rupture of ovarian dermoid cyst: A curious case report

Abstract

Ovarian dermoid cysts are usually asymptomatic and detected incidentally. However, they can have variable presentation especially when they are associated with complications. Spontaneous rupture of ovarian dermoid cyst is a rarely encountered complication as dermoid cyst usually have a thick capsule. Here we present a mysterious case of a postmenopausal female who had a remote iatrogenic rupture of ovarian dermoid cyst with multiple peritoneal and liver surface implants. Clinical history, classical imaging findings with correlated histopathological reports made it possible to reach the final diagnosis in this case. This case highlights one of those rare occurrences of remote rupture of dermoid cyst with patient remaining asymptomatic for a long period of time.

Keywords

• Ovarian mature teratoma
• Ruptured dermoid
• Iatrogenic rupture
• Peritoneal implants
• Adhesions