About the Journal | Editorial Board | Instructions to Contributors | Submission & Review | Advertise with Us | Subscribe to E- Alerts
Sitemap | Feedback
Advanced search
Journal of Case Reports
Twisted Fate: Third Trimester Ovarian Dermoid Cyst Torsion
Desmond Lim Shi Wei1, Ma Li2, Raju Gangaraju Changal3, Lynette Li San Teo1
Departments of 1Diagnostic Imaging, 2Obstetrics & Gynaecology and 3Pathology, National University Hospital, 5 Lower Kent Ridge Rd, Singapore 119074.
Corresponding Author:
Dr Lynette Li San Teo
Email: lynette_ls_teo@nuhs.edu.sg
Received: 08-SEP-2023 Accepted: 05-JAN-2024 Published Online: 25-MAY-2024
DOI: http://dx.doi.org/10.17659/01.2024.0012
Background: This case illustrates the challenges of clinical assessment of a pregnant patient in the third trimester. Use of non-radiation-based imaging modalities become more critical in the evaluation of the surgical abdomen in pregnant mothers. We discuss the advantages of ultrasound (US) and Magnetic Resonance Imaging (MRI) in the evaluation of a pregnant lady. Case Report: A 29-year-old lady, gravid 2 para 1 at 32 weeks gestational age presented with intermittent right iliac fossa pain. Physical examination revealed poorly localising right sided abdominal tenderness. An US performed showed a large mass in the right iliac fossa but was otherwise non-diagnostic. Subsequently torsion of an ovarian dermoid cyst was diagnosed with unenhanced MRI. Urgent surgery was performed thereafter with good outcome. Conclusion: Unenhanced MRI is now widely available and is increasingly a helpful tool for diagnosis to achieve prompt treatment and symptom relief.
Keywords : Dermoid Cyst, MRI, Ovarian Torsion, Pregnancy, Ultrasound.
Article Options
Search PubMed for
Search Google Scholar for
Article Statistics
Bookmark and Share