CASE REPORT: MISSED TORSION OF OVARIAN TERATOMA OR LIPOSARCOMA – EXPERIENCE FROM MISLEADING
Main Article Content
Abstract
Torsion of ovarian teratoma is a common and serious complication of ovarian teratoma1. Diagnostic imaging plays an important role in determining diagnosis and providing early treatment for patients1. Emergency surgery is performed quickly to reduce symptoms as well as avoid the risk of toxicity due to tumor necrosis and complications of tumor rupture causing seeding tumor tissue into the peritoneum2. However, a small number of ovarian teratoma torsion develop slowly with atypical clinical symptoms and radiology patern, causing difficutlties in timely diagnosis and treatment for patients. We report a case of a torsion of ovarian teratoma that was misdiagnosed as a liposarcoma on computed tomography. The patient was admitted to the hospital with nonspecific clinical symptoms and was re-diagnosed by MRI, a laparoscopic surgery was conducted to completely remove the ovarian dermoid cyst. A multimodality and multidisciplinary diagnostic approach may help reduce diagnostic confusion.
Keywords
ovarian endometrioma, ultrasound-guided aspiration, ethanol sclerotherapy
Article Details
References
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