Laparoscopic removal of ovarian dermoid

Posted by Jafrul Hannan on Thu, Oct 1, 2009  
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A 16 year old girl came with 3 months h/o recurrent abdominal pain. Pain did not correlate with menstrations, there was occassional vomiting but no fever, bowel and bladder habits were normal. O/E, there was moderate trenderness in right iliac fossa but no mass was felt. Ultrasonogram revealed a multiseptated cystic right adnexal mass of about 9 cm in diameter . Laparoscopy was planned. Upon introduction of telescope a huge mass was found in right adnexal region with visible septa separating at least two cysts one of which was seeminly solid in most parts. Incision was made on the outer wall of both the lesions using hook cautery and enucleated both tumors leaving the outer wall in place attached to the fallopian tube. An endobag was used to remove the tumors and sent for histopathology after examining and found that one tumor contained cheesy materials and hairs and another contained a solid part. Ports were closed keeping a drain. After 48 hours drain was removed and after 7 days stitches were removed. The histopathology reports said it as benign teratoma. The girl is doing fine.


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