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Ruptured Ovarian Cystic Teratoma with Peritoneal Reaction: A Case Report

並列摘要


Although ovarian teratomas are the most common neoplasms in younger patients, ruptured teratomas are rare. Ruptured teratomas may mimic malignant tumors, and chronic rupture may result in granulomatous peritonitis. We report a case of ruptured teratoma with peritoneal seeding in a 31-year-old woman without a significant history complained of progressive abdominal fullness. Abdominal computed tomography and 1.5-Tesla magnetic resonance imaging revealed a large cystic tumor in the right adnexa with diffuse fat implants in the peritoneum. In addition, dense calcifications and fat inclusions were observed within the tumor. The right ovarian tumor and most of the peritoneal implants were surgically excised. Follow-up computed tomography performed 4 years after resection showed no lesion recurrence, although some residual fat implants were observed in the peritoneum.

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