DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20214355

Large ovarian dermoid, a cause for fetal growth restriction and oligohydramnios: rare instance in literature

Anupma ., Avir Sarkar, Deepak Yadav, Jagadish C. Sharma

Abstract


Ovarian dermoids mostly remain asymptomatic during pregnancy. Large dermoids may present with torsion, hemorrhage or rupture. However, a dermoid cyst causing fetal growth restriction (FGR) and oligohydramnios is a very rare entity. We report a case of a large ovarian dernoid (15×12 cm) hampering intrauterine fetal growth. Due to the COVID-19 lockdown, patient was unable to get ultrasound examinations in early gestation, and thereby surgical intervention was not possible during the second trimester. As a result, this growing teratoma finally led to FGR by either exerting a pressure effect upon the uterus or by dwindling its blood supply.

 


Keywords


Dermoid cyst, Fetal growth restriction, Oligohydramnios, Teratoma

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References


Attia L, Chachia A, Ben TR, Bennour G, Makhlouf T, Koubaa A. Benign ovarian tumors during pregnancy. A review of 26 cases. Tunis Med. 2008;86(7):680-4.

Tariel O, Huissoud C, Rudigoz RC, Dubernard G. Presumed benign ovarian tumors during pregnancy. J Gynecol Obstet Biol Reprod. 2013;42(8):842-55.

Sahin H, Abdullazade S, Sanci M. Mature cystic teratoma of the ovary: a cutting edge overview on imaging features. Insights Imaging. 2017;8(2):227-41.

Chaudhary H, Jindal A, Sharma P. Ruptured dermoid cyst during pregnancy: a rare case report. J Gynecol Women’s Health. 2018;10(2):555781.

Das R, Rajbhandari S. An ovarian dermoid cyst in pregnancy: a rare cause of Intrauterine growth restriction. Medphoenix. 2020;5(1):75-8.

Testa AC, Mascilini F, Quagliozzi L, Moro F, Bolomini G, Mirandola MT, et al. Management of ovarian masses in pregnancy: patient selection for interventional treatment. Int J Gynecol Cancer. 2021;31(6):899-906.

Qublan HS, Al-Ghoweri AS, Al-Kaisi NS, AbuKhait SA. Benign mucinous cystadenoma with stromal luteinization during pregnancy: a hormonally responsive tumor and a rare cause of fetal intrauterine growth restriction. J Obstet Gynecol Res. 2002;28(4):104-7.

Mandi D, Mondal RC, Bhar D, Maity AK, Nandi MK, Singh K. Successful vaginal delivery despite a huge ovarian mucinous cystadenoma complicating pregnancy: A case report. Iran J Med Sci. 2013;38(4):339-42.