Case Study: Dermoid Cyst Removal
A dermoid cyst of the ovary is an abnormal growth that develops from egg cells and can contain various types of tissue, such as hair, skin, and teeth. Management of dermoid cysts usually involves surgical removal, either through an open or laparoscopic procedure. Medical management is ineffective in controlling the size of the cyst. If the cyst is small and not causing any symptoms, it may be monitored for a period of time to see if it resolves on its own. If the cyst does not resolve, or if it grows over time, surgical removal is usually recommended.
This patient who was detected with dermoid cyst first time during her pregnancy. It was an incidental finding and not giving any symptoms till then. Presence of fat globules and hair on ultrasound confirmed presence of dermoid. It enlarged mildly during pregnancy period and patient had 2-3 episodes of pain abdomen which subsided with pain killers, so surgery for its removal was not planned . She delivered normally at term. 5 months post delivery, she was taken up for laparoscopic cystectomy surgery for dermoid cyst removal. Cholecystectomy was also planned concurrently as pt had multiple gall bladder stones also. Post operatively, pt was fine and had uneventful recovery.
Dermoid cysts are common benign tumors that can occur in various parts of the body, including the ovaries. Surgical removal of the cyst may be necessary if it causes symptoms or if there is concern for malignancy. Laparoscopic cystectomy is a safe and effective option for the management of ovarian dermoid cysts, with excellent postoperative outcomes.
Case Study: Endometriosis
A 38 year old lady, African black by ethnicity, had history of off and on abdominal pain for 6 months. Her family was complete with 3 kids. In initial work up- she was found to have bilateral complex masses in ovaries. She was referred from her country in view of raised CA 125 ( value 148) and fearing ovarian cancer.
In MRI pelvis here, masses were found to be blood filled and likely Endometriotic. She was posted for laparoscopic cystectomy for Endometriotic cysts. Per op , she had extensive adhesions between bowel and ovarian mass . After adhesiolysis, bilateral ovarian cystectomy done and post operatively GnRH injection given for further suppression. She is free of pain now and has been put on medical treatment for endometriosis suppression and sent back to her country.