PMC6151369_01
Abdominal CT survey. CT arranged in ER showed a mixed density mass about 4*4(cm) with calcifications but discontinuous border over the left adnexa ((a) axial view of abdominal CT; (b) coronal view of abdominal CT).
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fig1
Operation findings. (a) Spilled sebaceous content of the ruptured teratoma was seen in peritoneal cavity. (b) A ruptured left teratoma with spread content was noted, which has formed an adhesional complex with the bilateral adnexa. Besides, there was severe adhesion and purulent fluid with the content clotting over the organs in the pelvis.
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fig2
Near the left adnexa, a ruptured teratoma and its spilled contents, including sebaceous substances, were noted (Figure 2).
Pathological studies. Specimen microscopically showed fibrinopurulent exudate composed of fibrin (the pink homologous background) (arrow), neutrophils, mononuclear inflammatory cells, and cell debris (square).
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fig3
Pathological studies showed that the fibrinopurulent exudate was composed of fibrin, neutrophils, mononuclear inflammatory cells, and cell debris, but without any ovarian tissues (Figure 3).