A huge mesenteric teratoma in reproductive age woman: a case report

Authors

  • Ruchi Kishore Department of Obstetrics and Gynaecology, Pt. Jawaharlal Nehru Memorial Medical College, Raipur, Chhattisgarh, India
  • Pratibha Lambodari Department of Obstetrics and Gynaecology, Pt. Jawaharlal Nehru Memorial Medical College, Raipur, Chhattisgarh, India
  • Kritika Verma Department of Obstetrics and Gynaecology, Pt. Jawaharlal Nehru Memorial Medical College, Raipur, Chhattisgarh, India
  • Anjum Khan Department of Obstetrics and Gynaecology, Pt. Jawaharlal Nehru Memorial Medical College, Raipur, Chhattisgarh, India
  • Neelam Singh Department of Obstetrics and Gynaecology, Pt. Jawaharlal Nehru Memorial Medical College, Raipur, Chhattisgarh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20214669

Keywords:

Mesenteric teratoma, Dermoid ovarian cyst, Abdominal tumor

Abstract

The incidence of dermoid ovarian cyst is 15-20% of all ovarian neoplasm, which is a common entity. Mesenteric cyst are one of the very rare entities with incidence of 1 in 2, 50, 000. Dermoid cysts rarely present as mesenteric cysts. Mesenteric dermoid cyst have good prognosis. Here, we report a rare abdominal tumor which was initially diagnosed clinically as an ovarian dermoid cyst but operative and histology revealed it to be mesenteric dermoid cyst. A 36 year-old, multiparous presented with abdominal mass, gradually increasing in size since 1 year with recent onset of abdominal pain. Physical examination revealed abdominal mass of 22×20 cm size, globular, non-tender, mobile, and cystic to solid in consistency. Contrast-enhanced computed tomography (CECT) showed 23×21×14.4 cm heterogeneous enhancing mass lesion with areas of fat density and calcifications within, suggestive of neoplastic mass lesion, likely teratoma. Tumor markers were within normal limit. Patient was managed surgically. Laparotomy findings revealed a huge solid mesenteric mass (22×20 cm) weighing 6.5 kgs. Histopathology showed mature cartilage, osteoid formation, fibro-adipose connective tissue, focal lymphoid aggregates, congested blood vessels and focal mature neuronal component and no immature elements seen, confirming dermoid cyst. Mesenteric cyst are rare intra-abdominal tumor found most commonly in ileum (60%) next is ascending colon (40%). However, if a mesenteric cyst locates within the pelvic cavity, as in this case, it may be misdiagnosed as an ovarian cyst.

Author Biographies

Ruchi Kishore, Department of Obstetrics and Gynaecology, Pt. Jawaharlal Nehru Memorial Medical College, Raipur, Chhattisgarh, India

Professor, Department of Obstetrics and Gynaecology, Pt. Jawaharlal Nehru Memorial Medical College, Raipur, Chhattisgarh, India. 

Pratibha Lambodari, Department of Obstetrics and Gynaecology, Pt. Jawaharlal Nehru Memorial Medical College, Raipur, Chhattisgarh, India

Assistant Professor and Corresponding Author, Department of Obstetrics and Gynaecology, Pt. Jawaharlal Nehru Memorial Medical College, Raipur, Chhattisgarh, India.

Kritika Verma, Department of Obstetrics and Gynaecology, Pt. Jawaharlal Nehru Memorial Medical College, Raipur, Chhattisgarh, India

Final Year Resident, Department of Obstetrics and Gynaecology, Pt. Jawaharlal Nehru Memorial Medical College, Raipur, Chhattisgarh, India

Anjum Khan, Department of Obstetrics and Gynaecology, Pt. Jawaharlal Nehru Memorial Medical College, Raipur, Chhattisgarh, India

Assistant Professor, Department of Obstetrics and Gynaecology, Pt. Jawaharlal Nehru Memorial Medical College, Raipur, Chhattisgarh, India

Neelam Singh, Department of Obstetrics and Gynaecology, Pt. Jawaharlal Nehru Memorial Medical College, Raipur, Chhattisgarh, India

Senior Registrar, Department of Obstetrics and Gynaecology, Pt. Jawaharlal Nehru Memorial Medical College, Raipur, Chhattisgarh, India.

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Published

2021-11-25

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Section

Case Reports