Abstract
Background
The presence of ectodermal-derived tissue, including teeth, in an ovarian dermoid
cyst is a common occurrence. The presence of a fully formed mandibular structure with
teeth, however, is rare, and there are few case reports in the literature that discuss
its surgical management.
Case
We report a case of an adolescent girl found to have a mandibular structure with teeth
in her dermoid cyst at the time of her laparoscopic ovarian cystectomy and a novel
surgical approach in the extraction of the cyst contents from the abdominal cavity.
Summary and Conclusion
The use of an arthroscopic surgical blade to morcellate the mandibular-like bone allowed
for completion of the procedure laparoscopically, without laparotomy for specimen
extraction, allowing the patient to benefit from the advantages of minimally invasive
surgery.
Key Words
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References
- Dentigerous dermoid cyst of the ovary containing a portion of a mandible.J Am Dent Assoc. 1941; 28: 1624
- Mandible-like structure with teeth in an ovarian cystic teratoma.Oral Surg Oral Med Oral Pathol. 1978; 45: 104
- Ovarian teratoma with a high level of differentiation.South Med J. 2001; 94: 522
- Mandible like structure with fourteen teeth in a benign cystic teratoma.Indian J Pathol Microbiol. 2009; 52: 595
- Laparoscopic management of a dermoid cyst containing a tooth-bearing mandible-like structure and possible chronic adnexal torsion.J Obstet Gynaecol. 2014; 34: 656
- A review on surgical instruments of knee arthroscopic debridement and total hip arthroplasty.Procedia CIRP. 2017; 65: 291
Article info
Publication history
Published online: October 09, 2020
Footnotes
The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.
Identification
Copyright
© 2021 Published by Elsevier Inc. on behalf of North American Society for Pediatric and Adolescent Gynecology.