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Diagnosis of an autoamputated ovary with dermoid cyst during a Cesarean section
Aikaterini Peitsidou1, Panagiotis Peitsidis, Nikolaos Goumalatsos
1Department of Obstetrics and Gynaecology, Alexandra Hospital, Athens, Greece.
Objective:
To report an extremely rare case of an autoamputated ovary with a dermoid cyst diagnosed during a Cesarean section and review the literature.
Design:
Case report.
Setting:
Tertiary hospital.
Patient(S):
A 33-year-old pregnant woman submitted to Cesarean section and was incidentally diagnosed with absence of the right ovary, implanted in the cul-de-sac.
Intervention(S):
Cesarean section and extraction of a pedunculated tumor formation from the cul-de-sac, adhesiolysis.
Main Outcome Measure(S):
Histologic analysis of the extracted morphoma confirmed the diagnosis of a dermoid cyst with coexistence of residual ovarian tissue.
Results:
The patient had an uneventful postpartum period and was discharged home.
Conclusion(S):
Ovarian autoamputation is an extremely rare phenomenon that has uncertain etiology; it may develop after ovarian torsion or torsion of a dermoid cyst. It may be asymptomatic. Usual site of implantation is the greater omentum.
