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.
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.
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Published online: October 09, 2020
The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.
© 2021 Published by Elsevier Inc. on behalf of North American Society for Pediatric and Adolescent Gynecology.