Case Report of Bilateral Dermoid Cyst Containing Tooth and Bone with Unilateral Ovarian Torsion

Öz

A case of bilateral dermoid cyst accompanied by unilateral over-torsion with acute abdomen was presented. A 35-year-old patient presented with acute abdomen in the emergency department. Two complete rounds of torsion and bilateral dermoid cysts were detected during the surgery. Left salpingoformectomy and right cystectomy were performed. During cystectomy, together with the hair one incisor tooth and bone like tissue was detected. Dermoids are mature teratomas arising from the germ cells, and therefore they can contain elements of all three germ cell layers such as epidermis, hair, calcified bone, teeth, fat and soft tissue like in our case. Since bilaterality is a common feature of dermoids, it should be examined in the opposite over dermoid cyst, even in cases of emergency unilateral torsion, so that future multiple torsion cases can be prevented.

Tek Taraflı Ovaryan Torsiyon ile Birlikte Diş ve Kemik İçeren Bilateral Dermoid Kist Olgusu

Öz

Akut batın ile başvuran tek taraflı over torsiyonunun eşlik ettiği bilateral dermoid kist vakası takdim edildi. 35 yaşında hasta acil servise akut batın ile başvurdu. Cerrahi sırasında sol over iki tam tur torsiyone ve bilateral dermoid kisti saptandı. Sol salfingooforektomi ve sağ kistektomi uygulandı. Kistektomi sırasında yağ dokusu ile beraber bir adet kesici diş, kemik benzeri yapı ve saç dokusu saptandı. Dermoidler germ hücrelerinden kaynaklanan matür teratomlardır, bu yüzden epiderm, saç, kalsifiye kemik, diş, yağ gibi her üç germ hücre tabakasından yapı içerebilir. Bilateralite, dermoidlerin sık rastlanan bir özelliği olduğundan, acil alınan tek taraflı torsiyon vakalarında dahi karşı over dermoid kist açısından incelenmeli, böylece gelecekte ortaya çıkabilecek mükerrer over torsiyonu vakaları da önlenebilir.

Anahtar Kelimeler

• Dermoid,Diş,Kistektomi,Over torsiyonu,Teratom

Kaynakça

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