Persistent chemical peritonitis resulting from spontaneous rupture of an ovarian mature cystic teratoma.

Yang, Hyun Sung; Song, Tae Hun; Bang, Hyun Chul; Park, Jun Ho; Lee, Chae Hyeong; Roh, Ju Won; Kim, Eo Jin; Lee, Yong Seok; Han, Seung Su

doi:2011.54.11.726

Obstet Gynecol Sci > Volume 54(11); 2011 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2011;54(11):726-730.
DOI: https://doi.org/10.5468/KJOG.2011.54.11.726 Published online November 1, 2011.

Persistent chemical peritonitis resulting from spontaneous rupture of an ovarian mature cystic teratoma.

Hyun Sung Yang, Tae Hun Song, Hyun Chul Bang, Jun Ho Park, Chae Hyeong Lee, Ju Won Roh, Eo Jin Kim, Yong Seok Lee, Seung Su Han

¹Department of Obstetrics and Gynecology, Dongguk University College of Medicine, Seoul, Korea. gynelee@paran.com
²Department of Pathology, Dongguk University College of Medicine, Seoul, Korea.
³Department of Radiology, Dongguk University College of Medicine, Seoul, Korea.
⁴Department of Obstetrics and Gynecology, Chung-Ang University College of Medicine, Seoul, Korea.

Abstract

Spontaneous rupture of mature cystic teratoma occurs rarely, but may lead to a chemical peritonitis. Once rupture of mature cystic teratoma is diagnosed, immediate surgical intervention is necessary. Removal of ruptured ovarian cystic teratoma and copious lavage of abdominal cavity are usually sufficient to prevent prolonged chemical peritonitis. We report here a rare case of spontaneously ruptured ovarian cystic teratoma diagnosed by computed tomography scan obtained before and after the rupture, and in which chemical peritonitis lasted over 2 months after surgery.

Key Words: Mature cystic teratoma, Spontaneous rupture, Chemical peritonitis