PMC7150697_01
Sagittal view of CT abdo-pelvis showing a likely dermoid cyst in the right adnexa.
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fig1
She initially underwent a CT abdomen-pelvis which showed a mixed density lesion containing calcifications, fat and fluid density areas in the right adnexa consistent with a 7.4 x 5.6 x 5.9 cm dermoid cyst as seen in Figures 1 and 2.
Transverse view of CT abdo-pelvis showing a dermoid cyst in the right adnexa.
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fig2
She initially underwent a CT abdomen-pelvis which showed a mixed density lesion containing calcifications, fat and fluid density areas in the right adnexa consistent with a 7.4 x 5.6 x 5.9 cm dermoid cyst as seen in Figures 1 and 2.
Ultrasound showing a large 10 cm well-circumscribed dermoid cyst.
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fig3
This was then followed by a pelvic ultrasound which revealed a large right-sided well-circumscribed complex mixed solid cystic mass in the right adnexa measuring 10 x 3.2 x 6 cm as seen in Figure 3.
Bleeding omentum adhered to the abdominal wall encountered on attempted laparoscopic entry.
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There was poor visualisation and bleeding, with a resultant inadvertent small bowel injury as seen in Figure 4.
Ruptured dermoid cyst contents at the liver and near the diaphragm.
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An accessory port was inserted under direct vision at the Palmer's Point, and active bleeding was noted on the omentum adherent to the anterior abdominal wall under the insertion site, with adhesions and cystic contents up to the diaphragm and the liver as seen in Figures 5 and 6, respectively.
Ruptured right dermoid cyst with cyst content widespread intra-abdominally.
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fig6
An accessory port was inserted under direct vision at the Palmer's Point, and active bleeding was noted on the omentum adherent to the anterior abdominal wall under the insertion site, with adhesions and cystic contents up to the diaphragm and the liver as seen in Figures 5 and 6, respectively.