A Case Report on Torsion of Dermoid Cyst in a Perimenopausal Woman

Abstract

The present case study explores the Torsion of dermoid cyst in a perimenopausal woman. Mature cystic teratomas account for 20% to 30% of all ovarian tumours.They are most commonly found in patients between the ages of 20 and 40, and they are usually asymptomatic.Incidence of malignancy is high in perimenopausal and postmenopausal group. The authors describe a case of dermoid cyst torsion that presented unusually in a 45-year-old perimenopausal lady with acute abdominal pain. A 45-year-old perimenopausal lady complained of 8-hour-long lower stomach ache and 3-4 episodes of vomiting.Abdominal examination revealed a regular, firm to cystic, tender abdomino- pelvic mass corresponding to the size of 28 weeks gravid uterus by palpation. A right ovarian cyst measuring 12.9x12.8x10.1 cm was discovered on abdominal ultrasonography. A total abdominal hysterectomy was performed, as well as bilateral salpingo oopherectomy.A histopathological study revealed the presence of a mature cystic teratoma. Although mature cystic teratomas are uncommon after 40 years of age, especially in perimenopausal women, and are usually malignant in that age group, it might present at an unusual age of 45 years and be benign, as in this case.