Journal de la grossesse et de la santé infantile

Abstrait

Dermoid Cyst in One Ovary and an Endometrioma in the Others by Laparoscopic Removal

Sunita Yadav

Few case reports of both disorders occurring simultaneously in the ovaries and the conjunction of an endometrioma and a dermoid cyst is extremely rare. A 41-year-old patient complained of pain in her left pelvis. She had a bilateral pelvic mass when she was referred. The results of magnetic resonance imaging revealed an endometrioma on the right side and a dermoid cyst on the left ovary. Up until the day of surgery, the patient was taking ibuprofen for pain relief. The bilateral laparoscopic cystectomy was indicated for her. The laparoscopic operation revealed that the ovaries were bilaterally enlarged and appeared cystic. A right endometrioma rupture was followed by the removal of the left dermoid cyst in its entirety from the ovary during a procedure known as a bilateral ovarian cystectomy. The patient accepted it. Without any complications the surgery. This instance of endometrioma and dermoid cyst coexistence in each ovary, which was confirmed by MRI as a result of unusual ultrasound findings, emphasises how important it is to effectively remove both cysts. The most frequent cause of chronic pelvic pain in women who are fertile is endometriosis, which is also closely related to painful ovulation, menstruation, and infertility. Almost 10% of women globally who are of reproductive age are thought to have endometriosis. Up to 44% of endometriosis patients have ovarian endometrioma, which is the clinical characteristic of the disease. Several findings imply that adhesions between the peritoneum and ovarian surface implants may be the source of endometriomas.