Volume 26, Issue 130, December 2022

Dermoid cyst and its bizarre presentation during pregnancy: A tangled case

Tanvi Chaurasia¹, Rahul Agola¹, Geeta Chaurasia²

¹Post Graduate Resident, Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India
²Senior consultant, Department of Obstetrics and Gynaecology, District hospital Chhatarpur (Madhya Pradesh), India

ABSTRACT

The most common ovarian germ cell tumour found in women of reproductive age is a dermoid cyst, also known as a mature cystic teratoma. They are generally unilateral, yet they are bilateral 10-12% of the time. They are made of ectodermal tissues like skin, hair and nails, mesodermal tissues like fat and muscle and endodermic tissues derived from germ cell layers. Adnexal torsion is thought to occur in 8% of instances of presumed benign ovarian tumour during pregnancy, most frequently at the end of the first trimester and during the second trimester. Ultrasound has a decreased specificity for malignancy it is still the gold standard for characterising an ovarian tumour during pregnancy. Pelvic MRI is accurate in spotting ovarian tumours during pregnancy. In this case, a 22-year-old primigravida who was 39 weeks pregnant and living in a rural region reported abdominal pain, a rare mass felt during a clinical examination, a lack of regular follow-ups and an important finding over looked. A big lump measuring 20x15 cm that was producing pressure shifts across the lungs and respiratory discomfort was discovered during the patient's ultrasonography after being admitted. The patient was shifted for an emergency caesarean section. A 2.5 kg healthy baby was delivered. An enormous tumour that was successfully removed was seen twisting an ovary. Dermoid and other benign ovarian cyst patients had favourable pregnancy results, including perinatal outcomes. Since problems are exceedingly rare, the cysts should, wherever feasible, be handled conservatively.

Keywords: pregnancy, dermoid cyst, reproductive age, germ cell tumour

Medical Science, 2022, 26, ms512e2537

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DOI: https://doi.org/10.54905/disssi/v26i130/ms512e2537

Published: 02 December 2022