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


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