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

Yıl 2018, Cilt: 2 Sayı: 2, 182 - 185, 31.08.2018

Görker Sel

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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