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Case Report| Volume 34, ISSUE 2, P223-225, April 2021

Laparoscopic Management of an Ovarian Dermoid Cyst Containing a Mandibular Structure with Teeth: A Novel Surgical Approach

  • Stephanie Tardieu
    Correspondence
    Address correspondence to: Stephanie Tardieu, MD, Icahn School of Medicine at Mount Sinai, OBGYN, 10 Union Square East, Suite 3E, New York, NY 10003. Phone: (914) 406-0490
    Affiliations
    Division of Adolescent Medicine, Department of Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY
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  • Heather Appelbaum
    Affiliations
    Division of Pediatric Gynecology, Cohen Children's Medical Center of New York, Zucker School of Medicine, New Hyde Park, NY
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Published:October 09, 2020DOI:https://doi.org/10.1016/j.jpag.2020.10.001

      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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