TY - JOUR T1 - Case Report of Bilateral Dermoid Cyst Containing Tooth and Bone with Unilateral Ovarian Torsion TT - Tek Taraflı Ovaryan Torsiyon ile Birlikte Diş ve Kemik İçeren Bilateral Dermoid Kist Olgusu AU - Sel, Görker PY - 2018 DA - August JF - Medical Journal of Western Black Sea JO - Med J West Black Sea PB - Zonguldak Bulent Ecevit University WT - DergiPark SN - 2822-4302 SP - 182 EP - 185 VL - 2 IS - 2 LA - en AB - A case of bilateral dermoid cyst accompanied byunilateral over-torsion with acute abdomen waspresented. A 35-year-old patient presented with acuteabdomen in the emergency department. Two completerounds of torsion and bilateral dermoid cysts weredetected during the surgery. Left salpingoformectomyand right cystectomy were performed. Duringcystectomy, together with the hair one incisor tooth andbone like tissue was detected. Dermoids are matureteratomas arising from the germ cells, and therefore theycan contain elements of all three germ cell layers such asepidermis, hair, calcified bone, teeth, fat and soft tissuelike in our case. Since bilaterality is a common feature ofdermoids, it should be examined in the opposite overdermoid cyst, even in cases of emergency unilateraltorsion, so that future multiple torsion cases can beprevented. KW - Dermoid KW - Diş KW - Kistektomi KW - Over torsiyonu KW - Teratom N2 - Akut batın ile başvuran tek taraflı over torsiyonunun eşlik ettiğibilateral dermoid kist vakası takdim edildi. 35 yaşında hasta acilservise akut batın ile başvurdu. Cerrahi sırasında sol over iki tam turtorsiyone ve bilateral dermoid kisti saptandı. Sol salfingooforektomive sağ kistektomi uygulandı. Kistektomi sırasında yağ dokusu ileberaber bir adet kesici diş, kemik benzeri yapı ve saç dokususaptandı. Dermoidler germ hücrelerinden kaynaklanan matürteratomlardır, bu yüzden epiderm, saç, kalsifiye kemik, diş, yağ gibiher üç germ hücre tabakasından yapı içerebilir. Bilateralite,dermoidlerin sık rastlanan bir özelliği olduğundan, acil alınan tektaraflı torsiyon vakalarında dahi karşı over dermoid kist açısındanincelenmeli, böylece gelecekte ortaya çıkabilecek mükerrer overtorsiyonu vakaları da önlenebilir. CR - 1. DiSaia PJ, Creasman WT. Germ cell, stromal, and other ovarian tumors. In: Gaertner R, Simpson D, editors. Clinical Gynecologic Oncology. 7. Philadelphia: Mosby Elsevier; 2007. pp. 369–395. CR - 2. Ayhan A, Bukulmez O, Genc C, Karamursel BS, Ayhan A. Mature cystic teratomas of the ovary: case series from one institution over 34 years. Eur J Obstet Gynecol Reprod Biol 2000; 88(2):153-157. CR - 3. Kahraman K, Cetinkaya SE, Kankaya D, Dunder I, Soylemez F. Squamous cell carcinoma arising from mature cystic teratoma of the ovary with synchronous endometrial adenocarcinoma. J Obstet Gynaecol Res 2011;37(2):146–150 CR - 4. Chiang AJ, La V, Peng J, Yu KJ, Teng NN. Squamous cell carcinoma arising from mature cystic teratoma of the ovary. Int J Gynecol Cancer 2011;21(3):466–474 CR - 5. Shariat Torbaghan S, Aleagha M, Sedighi S, Azadbakht F, Keshvari A, Hajarizadeh B, Rosai J. Squamous cell carcinoma arising in an ovarian mature cystic teratoma: a case report. Arch Iran Med 2009; 12(2):186–189 CR - 6. Sah SP, Uprety D, Rani S. Germ cell tumors of the ovary: a clinicopathologic study of 121 cases from Nepal. J Obstet Gynaecol Res 2004;30(4):303– 308. CR - 7. Hackethal A, Brueggmann D, Bohlmann MK, et al. Squamous-cell carcinoma in mature cystic teratoma of the ovary: systematic review and analysis of published data. Lancet Oncol 2008; 9:1173-80. CR - 8. Outwater EK, Siegelman ES, Hunt JL. Ovarian teratomas: tumor types and imaging characteristics. Radiographics 2001;21(2):475-90. CR - 9. Ozgur T, Atik E, Silfeler DB, et al. Mature cystic teratomas in our series with review of the literature and retrospective analysis. Arch Gynecol Obstet 2012;285(4):1099-101. CR - 10. Lee YH, Kim SG, Choi SH, Kim IS, Kim SH. Ovarian mature cystic teratoma containing homunculus: a case report. Korean Med Sci 2003;18(6):905-7. UR - https://dergipark.org.tr/en/pub/mjwbs/issue//459866 L1 - https://dergipark.org.tr/en/download/article-file/535373 ER -