Ovarian dermoid cyst complicated by small bowel obstruction, entero-ovarian fistula formation, and malignant degeneration

Yonah B. Esterson; Marian Gaballah; Gregory M. Grimaldi; Micheal H. Raj; John S. Pellerito

doi:10.1016/j.clinimag.2019.03.005

Ovarian dermoid cyst complicated by small bowel obstruction, entero-ovarian fistula formation, and malignant degeneration

Yonah B. Esterson, Marian Gaballah, Gregory M. Grimaldi, Micheal H. Raj, John S. Pellerito

Research output: Contribution to journal › Article › peer-review

Abstract

Dermoid cysts, or mature cystic teratomas, are complicated by malignant degeneration in only 1–2% of cases. Rarely, dermoid cysts result in complications of small bowel obstruction or entero-ovarian fistula formation. In the current report we present the case of a 59-year-old female with a known dermoid cyst who presented with leukocytosis and was discovered to have a small bowel obstruction at the level of an ileo-ovarian fistula. The patient was taken to the operating room and was treated with total abdominal hysterectomy, bilateral salpingo-oopherectomy, and short segment small bowel resection. Review of the surgical pathology revealed areas of malignant degeneration within the dermoid cyst to squamous cell carcinoma. To our knowledge, this is only the second reported case of an ovarian dermoid cyst complicated by small bowel obstruction, entero-ovarian fistula formation, and malignant degeneration.

Original language	English (US)
Pages (from-to)	47-51
Number of pages	5
Journal	Clinical Imaging
Volume	56
DOIs	https://doi.org/10.1016/j.clinimag.2019.03.005
State	Published - Jul 1 2019
Externally published	Yes

Keywords

Dermoid
Fistula
Malignant degeneration
Mature cystic teratoma
Small bowel obstruction
Teratoma

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

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10.1016/j.clinimag.2019.03.005

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title = "Ovarian dermoid cyst complicated by small bowel obstruction, entero-ovarian fistula formation, and malignant degeneration",

abstract = "Dermoid cysts, or mature cystic teratomas, are complicated by malignant degeneration in only 1–2% of cases. Rarely, dermoid cysts result in complications of small bowel obstruction or entero-ovarian fistula formation. In the current report we present the case of a 59-year-old female with a known dermoid cyst who presented with leukocytosis and was discovered to have a small bowel obstruction at the level of an ileo-ovarian fistula. The patient was taken to the operating room and was treated with total abdominal hysterectomy, bilateral salpingo-oopherectomy, and short segment small bowel resection. Review of the surgical pathology revealed areas of malignant degeneration within the dermoid cyst to squamous cell carcinoma. To our knowledge, this is only the second reported case of an ovarian dermoid cyst complicated by small bowel obstruction, entero-ovarian fistula formation, and malignant degeneration.",

keywords = "Dermoid, Fistula, Malignant degeneration, Mature cystic teratoma, Small bowel obstruction, Teratoma",

author = "Esterson, {Yonah B.} and Marian Gaballah and Grimaldi, {Gregory M.} and Raj, {Micheal H.} and Pellerito, {John S.}",

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year = "2019",

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doi = "10.1016/j.clinimag.2019.03.005",

language = "English (US)",

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T1 - Ovarian dermoid cyst complicated by small bowel obstruction, entero-ovarian fistula formation, and malignant degeneration

AU - Esterson, Yonah B.

AU - Gaballah, Marian

AU - Grimaldi, Gregory M.

AU - Raj, Micheal H.

AU - Pellerito, John S.

PY - 2019/7/1

Y1 - 2019/7/1

N2 - Dermoid cysts, or mature cystic teratomas, are complicated by malignant degeneration in only 1–2% of cases. Rarely, dermoid cysts result in complications of small bowel obstruction or entero-ovarian fistula formation. In the current report we present the case of a 59-year-old female with a known dermoid cyst who presented with leukocytosis and was discovered to have a small bowel obstruction at the level of an ileo-ovarian fistula. The patient was taken to the operating room and was treated with total abdominal hysterectomy, bilateral salpingo-oopherectomy, and short segment small bowel resection. Review of the surgical pathology revealed areas of malignant degeneration within the dermoid cyst to squamous cell carcinoma. To our knowledge, this is only the second reported case of an ovarian dermoid cyst complicated by small bowel obstruction, entero-ovarian fistula formation, and malignant degeneration.

AB - Dermoid cysts, or mature cystic teratomas, are complicated by malignant degeneration in only 1–2% of cases. Rarely, dermoid cysts result in complications of small bowel obstruction or entero-ovarian fistula formation. In the current report we present the case of a 59-year-old female with a known dermoid cyst who presented with leukocytosis and was discovered to have a small bowel obstruction at the level of an ileo-ovarian fistula. The patient was taken to the operating room and was treated with total abdominal hysterectomy, bilateral salpingo-oopherectomy, and short segment small bowel resection. Review of the surgical pathology revealed areas of malignant degeneration within the dermoid cyst to squamous cell carcinoma. To our knowledge, this is only the second reported case of an ovarian dermoid cyst complicated by small bowel obstruction, entero-ovarian fistula formation, and malignant degeneration.

KW - Dermoid

KW - Fistula

KW - Malignant degeneration

KW - Mature cystic teratoma

KW - Small bowel obstruction

KW - Teratoma

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SN - 0899-7071

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JO - Clinical Imaging

JF - Clinical Imaging

ER -

Ovarian dermoid cyst complicated by small bowel obstruction, entero-ovarian fistula formation, and malignant degeneration

Abstract

Keywords

ASJC Scopus subject areas

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