Case Report
Year: 2021 | Month: June | Volume: 8 | Issue: 6 | Pages: 30-34
DOI: https://doi.org/10.52403/ijrr.20210605
Atypical Presentation of Complicated Dermoid Cyst of Ovary Mimicking Diverticular Abscess
Prasun Das1, Sudipta Basu2, Srijak Bhattacharyya3, Swadha Priya Basu4, Sohini Parveen Sarwala5
1,3Post Graduate Trainee, Department of Radio-Diagnosis, Nilratan Sircar Medical College and Hospital, Kolkata, West Bengal, India
2Associate Professor, Department of Radio-Diagnosis, Nilratan Sircar Medical College and Hospital, Kolkata, West Bengal, India
4Professor and Head, Department of Radio-Diagnosis, Nilratan Sircar Medical College and Hospital, Kolkata, West Bengal, India
5Post Graduate Trainee, Department of Pathology, Nilratan Sircar Medical College and Hospital, Kolkata, West Bengal, India
Corresponding Author: Swadha Priya Basu
ABSTRACT
Background: Cystic teratomas comprises 20% overall among all ovarian neoplasia. They are made of derivatives of at least two of three germ layers. Histologically different dermoid cyst contains only well differentiated embryological elements of ectodermal layer. Diverticulitis of colon mainly affects elderly population having abscess formation causing lower abdominal pain.
Case presentation: We report a case of 50 yr old woman presenting with lower abdominal pain. From barium enema, ultrasound and CT we suggested the probability of diverticular abscess. Patient was undergone left salpingo-oophorectomy with repair of adhered part of sigmoid colon. Post op biopsy shows typical features of dermoid cyst.
Conclusions: We illustrate how a dermoid cyst may be diagnosed as diverticular abscess by imaging. We also showed the rupture of dermoid cyst into sigmoid colon with communication formation. So we the radiologists must be aware of all possible differential diagnosis of lower abdominal pain in elderly female, so that we can help our fellow surgeons to treat properly.
Keywords: Cystic teratoma, Diverticulitis, Post menopausal, Sigmoid Colon.
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