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Updated: Aug 17, 2026

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
[Giant ovarian dermoid cyst in prepubertal age. Report of a case]
F Sciannameo1, P Ronca, C Madami
1Istituto di Patologia Chirurgica (R) Sede in Terni, Università degli Studi di Perugia.
Insights
A large ovarian dermoid cyst in an 11-year-old child caused ovarian atrophy and ureterohydronephrosis. Surgical removal of the cyst led to rapid resolution of the ureterohydronephrosis.
Area of Science:
- Pediatric Surgery
- Gynecologic Oncology
- Diagnostic Imaging
Background:
- Ovarian dermoid cysts, also known as teratomas, are germ cell tumors that can grow to significant sizes.
- Large ovarian masses in children can cause complications such as organ compression and atrophy.
- Ureterohydronephrosis, a swelling of the kidney and ureter, can result from extrinsic compression by pelvic masses.
Abstract:
We report a case of a very large (size cm 33 x 41) dermoid cyst in the right ovary in a 11 year old child, causing a complete atrophy of the remaining right ovarian parenchyma and ipsilateral salpinx. Sonography and CT allowed us to diagnose this disease and also showed an associated ureterohydronephrosis. The patient underwent a surgical operation during which a right ovarosalpingectomy was performed. A rapid regression of the ureterohydronephrosis was observed and the patient was discharged from the hospital six days after operation.
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