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Published on: January 22, 2022
Mature ovarian dermoid cyst invading the urinary bladder
A Tandon1, K Gulleria, S Gupta
1Department of Radiology & Imaging, University College of Medical Sciences and Guru Tegh Bahadur Hospital, Dilshad Garden, Delhi, India.
Summary
Ovarian dermoid cysts rarely rupture into the urinary bladder. Ultrasound accurately diagnosed this rare complication, enabling a minimally invasive bladder-preserving surgery.
Area of Science:
- Gynecology
- Urology
- Radiology
Background:
- Mature ovarian dermoid cysts are common, typically asymptomatic, and easily diagnosed.
- Complications like torsion, rupture, suppuration, and malignant transformation can occur, complicating diagnosis and treatment.
- Rupture into the urinary bladder is an exceptionally rare complication.
Observation:
- A 30-year-old patient presented with symptoms of urinary tract infection, including pyuria and dysuria.
- Ultrasound imaging revealed an ovarian dermoid cyst directly invading the urinary bladder.
- Previous diagnoses of this condition relied on cystoscopy or laparotomy.
Findings:
- Ultrasound provided a definitive pre-operative diagnosis of ovarian dermoid cyst invasion into the urinary bladder.
- This clear imaging diagnosis facilitated surgical planning.
- A mucosa-sparing partial bladder resection was successfully performed.
Implications:
- This case highlights the diagnostic utility of ultrasound in rare ovarian cyst complications.
- Early and accurate diagnosis allows for tailored, less invasive surgical approaches.
- Improved diagnostic strategies can lead to better patient outcomes in complex gynecological and urological cases.
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