Immature cystic teratoma (IMCT) is a rare ovarian malignancy, usually presenting as a huge unilateral pelvoabdominal mass in the pediatric age. Even rarer is the occurrence of a concomitant contralateral mature cystic teratoma. Management issues include use of fertility sparing versus complete surgical staging, and the use of chemotherapy. Fortunately, IMCT carries a good prognosis, especially when diagnosed early. Chemotherapy is used only in higher stage disease and recurrence.
Ovarian Cysts

The purpose of this study is to examine the histopathological findings of ruptured ovarian cysts and to compare them with clinical symptoms. In general, this condition has been misdiagnosed with appendicitis (54.6%) or with ruptured ectopic pregnancy (18.2%). During 5 years from January 1, 1994 to December 31, 1998, 182 samples of ovarian cystomas were referred to ViÖt §øc Hospital for histopathological study. Among these, 36 cysts were ruptured. 69.4% of the ruptures occurred in patients aged from 15 to 35 years. More than half (58.3%) were found in the right ovary. The most common histological types were ruptures of the cystic corpus luteum (61.1%) and secondary ruptures of the Grafian follicles (16.7%). The commonest complication was intraperitoneal hemorrhage - an indication for emergency laparotomy in clinical. The amount of blood found in peritoneum was largely insignificant, with 50 - 500 ml in 95% of patients.
Ovarian Cysts ; Ovarian Neoplasms ; diagnosis

No abstract available.
Female ; Hydronephrosis* ; Ovarian Cysts*

No abstract available.
Female ; Ovarian Cysts*

The torsion of the pedicle is the complication of any ovarian cyst. This complication is more common with tumors of small or moderate size than the large ones. These tumors are usually benign and not adhesive. The incidence of torsion varies from 3.5 to 16%. Ultrasound could help us diagnose rapidly and accurately the size and characteristics of the ovarian cysts.
Ovarian Cysts ; Torsion

No abstract available.
Female ; Ovarian Cysts*

No abstract available.
Female ; Ovarian Cysts* ; Ultrasonography*

Ovarian cysts are rare in children. Their common presentation is acute abdomen, which can be a life-threatening event that needs emergent investigation and intervention. Herein, we report a gynaecological case of a twisted ovarian cyst in an 11-year-old girl who presented to the emergency department with sudden-onset generalised abdominal pain. Multiple strong analgesics were prescribed, and pain-controlled analgesia was then started. Abdominal ultrasound revealed a left adnexal mass, and abdominal computed tomography showed a non-enhancing soft tissue tumour with multiple cystic components in the pouch of Douglas. The patient underwent emergency laparotomy, which revealed a gangrenous left ovarian mass measuring 9×5 cm that was twisted five times. Histopathology showed extensive haemorrhagic infarction with no remnant of viable tissue, consistent with a twisted ovary. It was challenging to determine the origin of the pain in this patient, as thorough examination could not be performed because she was in severe pain. Abdominal ultrasound helps guide diagnosis, as a gynaecological cause is rare in premenarchal children. A vigilant assessment is important to avoid delays in diagnosis and emergency intervention.
Ovarian Cysts ; Abdomen ; Child

No abstract available.
Female ; Humans ; Ovarian Cysts* ; Ovary*

Anterior sacral meningocele is a rare congenital lesion. Since its description by Bryant in 1838, less than 300 cases have been reported in the literature. The authors report a case of anterior sacral meningocele with pneumocephalus and meningitis, which was misdiagnosed as an ovarian cyst and was aspirated. The clinical, radiological, histopathological, and neurosurgical features of the lesion are discussed with a review of the literatures.
Female ; Meningitis* ; Meningocele* ; Ovarian Cysts ; Pneumocephalus*