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Laparoscopic Management of Ovarian Dermoid Cyst in a 31-year-old Woman

Fig. 2: Dermoid ovarian cyst overview during laparoscopy Fig. 4: Dermoid cyst excreted under the umbilicus

Fig. 3: Dermoid cyst inserted into a plastic bag Fig. 5: Dermoid cyst, showing hairs

(Fig. 4). After removing the mass was opened and there was a lot characteristic appearances can be seen on ultrasonography: the
of hair in it (Fig. 5). Ovarian tumors tissue was sent for anatomical unilocular mass of the cystic adnexitis, Rokitansky nodule, or
pathology examination. dermoid obstruction; dermoid mesh which showed echogenic
Histopathological examination results: microscopically band; and the tip of the iceberg can be seen when fat, hair, and
showed pieces of ovarian tissue lined with stratified squamous shapeless echogenic tissues are in focus in the foreground causing
epithelium accompanied by keratin with a stroma composed of acoustic shadows on the structures behind them and you can also
fibrocollagenous connective tissue including sebaceous glands, hair see linear demarcation. Hair is often a component of teratomas and
follicles and several glandular structures lined with simple cuboidal often mixes with sebum and forms a line in the longitudinal plane
epithelium, no signs of malignancy were seen. and points in the transverse plane. 3,6,7 Diagnosis was definitively
established at the surgical excision. 5
dIscussIon Some researchers recommend conservative therapy by
Benign mature teratoma is the most common benign tumor at laparoscopy to maintain ovarian function in young patients
5
a young age. Most cases of mature cystic teratomas are found with dermoid cysts. However, there is a general opinion among
incidentally on imaging studies. The most common symptom is gynecological surgeons that the rate of leakage of cysts during

4
lower abdominal pain, which is related to the size of the mass. laparoscopy is higher than that of the laparotomy and that
Because of the association between symptoms and mass effects leakage of cyst contents during laparoscopy can potentially cause
and doubts about ovarian malignancy, it is necessary to perform peritonitis. But it remains questionable whether leakage during
resection, usually oophorectomy. 5 laparoscopy can affect the prognosis of the disease. From a
Most mature cystic teratomas can be diagnosed by ultrasound literature review with a total of 14 studies documenting 470 cases
because they have a very characteristic appearance. The following of laparoscopic dermoid cystectomy, there was leakage of dermoid

World Journal of Laparoscopic Surgery, Volume 14 Issue 2 (May–August 2021) 139