Preprint Case Report Version 1 Preserved in Portico This version is not peer-reviewed

Ruptured Ovarian Cystic Teratoma. A Rare Diagnosis, Easily to Be Confused with Peritoneal Carcinomatosis

Dan Costachescu
ORCID logo ,
Alexandru Catalin Motofelea
* ,
Daniel Claudiu Malita
,
Florica Birsasteanu
,
Ioana Ionita
,
Nadica Motofelea
,
Ana Maria Cristina Jura
,
Ioana Flavia Bacila
,
Mihai Bacila
,
Sorin Bogdan Motoi
ORCID logo
Version 1 : Received: 23 February 2024 / Approved: 26 February 2024 / Online: 26 February 2024 (12:44:15 CET)

A peer-reviewed article of this Preprint also exists.

Costachescu, D.; Motofelea, A.C.; Malita, D.; Birsasteanu, F.; Ionita, I.; Motofelea, N.; Jura, C.A.-M.; Bacila, I.-F.; Bacila, M.; Motoi, S. Ruptured Ovarian Cystic Teratoma: A Rare Diagnosis, Easily to Be Confused with Peritoneal Carcinomatosis. Medicina 2024, 60, 460. Costachescu, D.; Motofelea, A.C.; Malita, D.; Birsasteanu, F.; Ionita, I.; Motofelea, N.; Jura, C.A.-M.; Bacila, I.-F.; Bacila, M.; Motoi, S. Ruptured Ovarian Cystic Teratoma: A Rare Diagnosis, Easily to Be Confused with Peritoneal Carcinomatosis. Medicina 2024, 60, 460.

Abstract

Although ovarian cystic teratoma is the most common ovarian tumor, complications are quite rare. However, it is important to be recognized by the radiologist in order to avoid inaccurately diagnosing them as malignant lesions. This case report describes a 61-year-old postmenopausal woman, who presented to the emergency room with abdominal pain following a minor blunt abdominal trauma. In this context, a CT scan was performed, which showed the presence of round, hypodense masses randomly distributed in the peritoneum, with coexisting ascites in moderate amount; ovarian carcinoma with peritoneal carcinomatosis was suspected. The patient was hospitalized and an MRI of the abdomen and pelvis was recommended for a more detailed lesion characterization. Following this examination, the patient was diagnosed with mature cystic ovarian teratoma complicated by rupture. Surgery was performed, and the outcome was favorable. The cases of ruptured cystic teratomas are rare, and to our knowledge, this is the first occurrence described in literature. Special attention must be paid when confronting with such a case in medical practice, since it can easily misdiagnosed as peritoneal carcinomatosis

Keywords

ovarian cystic teratoma; complications; rupture; ultrasound; computed tomography; magnetic resonance imaging

Subject

Medicine and Pharmacology, Obstetrics and Gynaecology

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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