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CASE REPORT
Laparoscopic Management of Ovarian Dermoid Cyst in a

31-year-old Woman: A Case Report

Cipta Pramana

AbstrAct
Ovarian dermoid cysts, also known as mature teratomas, are one of the ovarian numbers that can develop into malignancy and are mostly
found in women aged 20–40 years. Most cases of teratoma mature cystic were discovered accidentally through the imaging examination. We
reported a 31-year-old woman with complaints of bleeding from the birth canal for 16 days and accompanied by sharp pain during menstruation.
The general condition is good and other vital signs examined were within normal limits. Abdominal ultrasound examination showed a mass
in the right adnexa with a size of 12 × 10 × 8 cm and there were longitudinal thin white lines. Laparoscopic right ovarian oophorectomy was
performed. After removing the mass was opened and there was a lot of hair in it. There are no complications during surgery and after surgery.
The results of the histopathological examination were by the dermoid cyst.
Keywords: Laparoscopy, Ovarian dermoid cyst, Rokitansky nodule.
World Journal of Laparoscopic Surgery (2021): 10.5005/jp-journals-10033-1456

IntroductIon
Department of Obstetrics and Gynecology, KRMT Wongsonegoro
Dermoid cysts, or more commonly known as mature teratomas, General Hospital, Semarang, Indonesia/Faculty of Medicine,
are the most common ovarian tumors. About 15–20% of ovarian Tarumanagara University, Jakarta, Indonesia
tumors are dermoid cysts and occur bilaterally in 10–15% of Corresponding Author: Cipta Pramana, Department of Obstetrics
cases. The prevalence of developing malignancy is reported in and Gynecology, KRMT Wongsonegoro General Hospital, Semarang,
1–3% of cases. The highest incidence rate is found in women aged Indonesia/Faculty of Medicine, Tarumanagara University, Jakarta,
20–40 years. 1,2 Indonesia, Phone: +6281326118651, e-mail: pramanacipta@yahoo.com
These tumors originate from totipotent germ cells, which How to cite this article: Pramana C. Laparoscopic Management of
have the ability to become a well-differentiated tissue from the Ovarian Dermoid Cyst in a 31-year-old Woman: A Case Report. World J
3
embryonic germ layer. The cyst may develop from different types Lap Surg 2021;14(2):138–140.
of tissues derived from ectoderm, mesoderm, and endoderm, Source of support: Nil

including the hair, bones, teeth, cartilage, nerves, and sebaceous Conflict of interest: None
glands. Genetics is a predisposing factor for dermoid cysts, where
one study found that the immediate family of patients with dermoid
cysts had a higher risk. Common management of dermoid cyst
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is cystectomy or oophorectomy through surgical laparoscopy. oophorectomy. The mass is reduced by aspiration of fluid and a
Therefore, it is important to detect it early so that complications yellowish liquid came out. Then the mass is wrapped in a plastic
from a dermoid cyst can be prevented. bag, tied (Fig. 3), and expelled through the bottom of the umbilicus
We reported a 31-years-old woman with ovarian dermoid
cysts without complications had undergone laparoscopy
oophorectomy.

cAse descrIptIon
A 31-year-old woman P1A0 came to the gynecology clinic with
complaints of bleeding from the birth canal. The patient complained
of having been menstruating for 16 days and was accompanied by
sharp pain during menstruation. Blood pressure 110/70 mm Hg,
weight 53 kg, and height 152 cm. Other vital signs examined were
within normal limits. On laboratory examination, hemoglobin
11.5 gm/dL; hematocrit 33.90%; platelet count 408/µL; leukocyte
count 7.6/µL; and other laboratory tests within normal. Abdominal
ultrasound examination revealed a mass in the right adnexa with a
size of 12 × 10 × 8 cm and a white longitudinal stripe was seen (Fig. 1).
An exploratory laparoscopy showed a mass in the right adnexa
with a size of approximately 13 × 10 cm (Fig. 2) and the left adnexa
with a normal tube and ovary. It was decided to do a right ovarian Fig. 1: Ultrasound image of dermoid ovarian cysts

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