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Updated: Jun 26, 2026

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An Ex Vivo Model of Ovarian Cancer Peritoneal Metastasis Using Human Omentum
Published on: January 26, 2024
Ruptured ovarian teratoma presenting as peritonitis
Badar Murtaza1, Saira Saeed, Muhammad Ashraf Sharif
1Department of General Surgery1, Combined Military Hospital, Bahawalnagar. babar_murtaza@yahoo.com
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|January 20, 2009
Summary
A perforated ovarian cyst caused acute peritonitis in a 55-year-old woman. Surgical removal of the benign cystic teratoma led to a smooth recovery, highlighting prompt surgical intervention for ovarian emergencies.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Acute peritonitis can arise from various intra-abdominal pathologies.
- Ovarian pathologies, though less common, can present as surgical emergencies.
Observation:
- A 55-year-old female presented with acute peritonitis.
- Intraoperative findings revealed purulent material in the peritoneal cavity.
- A large, thick-walled ovarian cyst with a small perforation was identified.
Findings:
- Histopathology confirmed the ovarian cyst as a benign cystic teratoma.
- The perforation led to the spillage of purulent fluid, causing peritonitis.
- The patient underwent successful left oophorectomy and peritoneal lavage.
Implications:
- Benign cystic teratomas of the ovary can perforate and lead to secondary peritonitis.
- Prompt surgical management, including cystectomy and peritoneal lavage, is crucial for favorable outcomes.
- This case underscores the importance of considering ovarian pathology in the differential diagnosis of acute peritonitis.
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