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Bilateral dermoid cysts of the ovary in a pregnant woman: case report and review of the literature

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Abstract

Objective

Most nonphysiological ovarian masses discovered during pregnancy are benign dermoid cysts. The association of dermoid cysts with pregnancy has been increasingly reported since 1918. They usually present the dilemma of weighing the risks of surgery and anesthesia versus the risks of untreated adnexal mass.

Method

We are reporting an illustrative case and presenting a review of the literature for recommendations regarding the management of such cases.

Result

The bilateral dermoid cysts were surgically treated in the second trimester.

Conclusion

Most references state that it is more feasible to treat bilateral dermoid cysts of the ovaries discovered during pregnancy if they grow beyond 6 cm in diameter. This is usually performed through laparotomy or very carefully through laparoscopy and should preferably be done in the second trimester.

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References

  1. Lavery JP, Koontz WL, Layman L, Shaw L, Gumpel U (1986) Sonographic evaluation of the adnexa during early pregnancy. Surg Gynecol Obstet 163(4):319–323

    PubMed  CAS  Google Scholar 

  2. Tchabo JG, Stay EJ, Limaye NS (1987) Ovarian tumors in pregnancy. A community hospital’s five year experience. Int Surg 72(4):227–229

    PubMed  CAS  Google Scholar 

  3. Tawa K (1964) Ovarian tumors in pregnancy. Am J Obstet Gynecol 90:511–516

    PubMed  CAS  Google Scholar 

  4. Peterson WF, Prevost EC, Edmunds FT, Hundley JM Jr, Morris FK (1955) Benign cystic teratomas of the ovary; a clinico-statistical study of 1,007 cases with a review of the literature. Am J Obstet Gynecol 70(2):368–382

    PubMed  CAS  Google Scholar 

  5. Koonings PP, Campbell K, Mishell DR Jr, Grimes DA (1989) Relative frequency of primary ovarian neoplasms: a 10-year review. Obstet Gynecol 74(6):921–926

    PubMed  CAS  Google Scholar 

  6. Mehra U, O’Connor T, Ostapowicz F, Cavanagh D (1976) Pregnancy with bilateral ruptured benign cystic teratomas. Am J Obstet Gynecol 124(4):361–366

    PubMed  CAS  Google Scholar 

  7. Levi AA (1967) Bilateral ovarian dermoid cysts operated during pregnancy. Int Surg 48(3):229–232

    PubMed  CAS  Google Scholar 

  8. Feld D, Labes J, Nathanson M (1966) Bilateral ovarian dermoid cysts in triplets. Obstet Gynecol 27(4):525–528

    Article  PubMed  CAS  Google Scholar 

  9. Koskela O (1964) Large bilateral dermoid cysts obstructing delivery. Ann Chir Gynaecol Fenn 53:493–498

    PubMed  CAS  Google Scholar 

  10. Leyns J (1964) Pregnancy after bilateral ovariectomy. Ned Tijdschr Verloskd Gynaecol 64:25–33

    PubMed  CAS  Google Scholar 

  11. Klier E (1961) Report on the maintenance of a pregnancy after a bilateral ovariectomy for dermoid cysts. Zentralbl Gynakol 83:953–959

    PubMed  CAS  Google Scholar 

  12. Baker HW (1961) Bilateral dermoid cysts complicating delivery. J Ky Med Assoc 59:257–258

    PubMed  CAS  Google Scholar 

  13. Kraetzig W (1960) Bilateral dermoid cysts during pregnancy. Zentralbl Gynakol 82:1822–1824

    PubMed  CAS  Google Scholar 

  14. Scharfman E (1960) Bilateral dermoid cysts complicating pregnancy. West J Surg Obstet Gynecol 68:304–305

    PubMed  CAS  Google Scholar 

  15. Ottolenghi-Preti GF (1960) Bilateral dermoid cysts of the ovary in pregnancy (presentation of 2 cases). Quad Clin Ostet Ginecol 15:162–190

    PubMed  CAS  Google Scholar 

  16. Hofmeister FJ, Miller JP (1956) Bilateral dermoid cysts complicating pregnancy; management; report of a case. Obstet Gynecol 7(6):684–688

    PubMed  CAS  Google Scholar 

  17. Bboscaro M (1953) Surgery of bilateral dermoid cysts of the ovary in pregnancy. Minerva Ginecol 5(20):683–689

    Google Scholar 

  18. Ccataldi G (1953) Clinico-statistical study of dermoid cysts of the ovary, with special reference to bilateral cysts complicating pregnancy. Arcisp S Anna Ferrara 6(4):435–460

    Google Scholar 

  19. Folgado P (1952) Bilateral dermoid cyst of the ovary and pregnancy; double ovariectomy and pregnancy at term. Tokoginecol Pract 11(107):559–564

    Google Scholar 

  20. Rreist A (1952) Bilateral dermoid cysts a labor complication. Zentralbl Gynakol 74(37):1462–1463

    Google Scholar 

  21. Avanzini S (1951) Bilateral ovarian dermoid cysts and pregnancy. Ann Ostet Ginecol 73(11):1395–1418

    PubMed  CAS  Google Scholar 

  22. Barber HR, Winston HG (1951) Bilateral ovarian dermoids in pregnancy. Am J Obstet Gynecol 61(4):927–929

    PubMed  CAS  Google Scholar 

  23. Heffernon GA (1950) Bilateral dermoid cysts and pregnancy; report of a case. U S Armed Forces Med J 1(1):46–48

    PubMed  CAS  Google Scholar 

  24. Hutchison JN (1918) Two cases of dermoid tumours complicating pregnancy, with operation. Can Med Assoc J 8(6):535–537

    Google Scholar 

  25. Indinnimeo M, Cicchini C, Larcinese A, Kanakaki S, Ricci F, Mingazzini PL (2003) Two twins with teratoma of the ovary. An unusual association: case report. Eur J Gynaecol Oncol 24(2):199–201

    PubMed  CAS  Google Scholar 

  26. Linder D, McCaw BK, Hecht F (1975) Parthenogenic origin of benign ovarian teratomas. N Engl J Med 292(2):63–66

    PubMed  CAS  Google Scholar 

  27. Hibbard LT (1985) Adnexal torsion. Am J Obstet Gynecol 152(4):456–461

    PubMed  CAS  Google Scholar 

  28. Hess LW, Peaceman A, O’Brien WF, Winkel CA, Cruikshank DP, Morrison JC (1988) Adnexal mass occurring with intrauterine pregnancy: report of fifty-four patients requiring laparotomy for definitive management. Am J Obstet Gynecol 158(5):1029–1034

    PubMed  CAS  Google Scholar 

  29. Caspi B, Levi R, Appelman Z, Rabinerson D, Goldman G, Hagay Z (2000) Conservative management of ovarian cystic teratoma during pregnancy and labor. Am J Obstet Gynecol 182(3):503–505. doi:10.1067/mob.2000.103768

    Article  PubMed  CAS  Google Scholar 

  30. Hamilton CA, Kost E, Ellison MC (2008) Teratoma, cystic. [monograph on the Internet] New York, eMedicine. Last updates Jun 30, 2006. Cited April 1 2008. http://www.emedicine.com/med/topic2248.htm

  31. Parker WH, Childers JM, Canis M, Phillips DR, Topel H (1996) Laparoscopic management of benign cystic teratomas during pregnancy. Am J Obstet Gynecol 174(5):1499–1501. doi:10.1016/S0002–9378(96)70595-1

    Article  PubMed  CAS  Google Scholar 

  32. Hogston P, Lilford RJ (1986) Ultrasound study of ovarian cysts in pregnancy: prevalence and significance. Br J Obstet Gynaecol 93(6):625–628

    PubMed  CAS  Google Scholar 

  33. Whitecar MP, Turner S, Higby MK (1999) Adnexal masses in pregnancy: a review of 130 cases undergoing surgical management. Am J Obstet Gynecol 181(1):19–24. doi:10.1016/S0002-9378(99)70429-1

    Article  PubMed  CAS  Google Scholar 

  34. Agarwal N, Parul Kriplani A, Bhatla N, Gupta A (2003) Management and outcome of pregnancies complicated with adnexal masses. Arch Gynecol Obstet 267(3):148–152. doi:10.1007/s00404-001-0287-y

    Article  PubMed  Google Scholar 

  35. Hemalatha AL, Kumar SY, Shankaranand SB, Sumanth D, Padmapriya J (2007) Malignant ovarian tumor co-existing with pregnancy: a case report. Indian J Pathol Microbiol 50(4):775–777

    PubMed  CAS  Google Scholar 

  36. Mitchell DG (1992) Benign disease of the uterus and ovaries. Applications of magnetic resonance imaging. Radiol Clin North Am 30:777–787

    PubMed  CAS  Google Scholar 

  37. Troiano RN, McCarthy S (1994) Magnetic resonance imaging evaluation of adnexal masses. Semin Ultrasound CT MR 15:38–48. doi:10.1016/S0887-2171(05) 80028-9

    Article  PubMed  CAS  Google Scholar 

  38. Leiserowitz GS (2006) Managing ovarian masses during pregnancy. Obstet Gynecol Surv 61(7):463–470. doi:10.1097/01.ogx.0000224614.51356.b7

    Article  PubMed  Google Scholar 

  39. Ballard CA (1984) Ovarian tumors associated with pregnancy termination patients. Am J Obstet Gynecol 149(4):384–387

    PubMed  CAS  Google Scholar 

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Correspondence to Mohammad Sami Walid.

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Walid, M.S., Boddy, M.G. Bilateral dermoid cysts of the ovary in a pregnant woman: case report and review of the literature. Arch Gynecol Obstet 279, 105–108 (2009). https://doi.org/10.1007/s00404-008-0695-3

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  • DOI: https://doi.org/10.1007/s00404-008-0695-3

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