Background: A mature teratoma, or dermoid cyst, is the most common ovarian tumor, accounting for 10%–20% of all ovarian tumours and occurs bilaterally in 10%–15% of cases. These cysts are known to occur in patients at any age, but the peak incidence is reported in reproductive age. The issue of infertility is controversial with respect to bilateral ovarian dermoid cysts. Pregnancy is not impossible if there is some healthy ovarian tissue even in one side after surgery for bilateral ovarian dermoid cysts. Case: A 38-year-old woman presented with primary infertility for 4 years. On examination and detailed investigation, she was found to have bilateral ovarian dermoid cysts. Right-sided oophorectomy and a left-sided ovarian cystectomy were performed, preserving healthy ovarian tissue. She conceived during the third cycle of ovulation induction. Results: The outcome was a term healthy baby, delivered by Cesarean section. Eight months postdelivery, she conceived again spontaneously. After repeated counseling to continue the pregnancy, medical abortion was done as per her request. Conclusions: In women with bilateral ovarian dermoid cysts, if future fertility is required, then preservation of some healthy ovarian tissue, even on one side, at the time of surgery can save the fertility of these women. (J GYNECOL SURG 32:129)
Get full access to this article
View all access options for this article.
References
1.
AyhanA, BukulmezO, GencC, KaramurselBS, AyhanA. Mature cystic teratomas of the ovary: Case series from one institution over 34 years. Eur J Obstet Gynecol Reprod Biol, 2000; 88:153.
2.
KimMJ, KimNY, LeeDY, YoonBK, ChoiD. Clinical characteristics of ovarian teratoma: Age-focused retrospective analysis of 580 cases. Am J Obstet Gynecol, 2011; 205:32.e1.
3.
KocakM, DilbazB, OzturkN, et al.Laparoscopic management of ovarian dermoid cysts: A review of 47 cases. Ann Saudi Med, 2004; 24:357.
4.
BollaD, DeseöN, SturmA, SchöningA, LeimgruberC. Minilaparotomy a good option in specific cases: A case report of bilateral ovarian germ cell tumor. Case Rep Obstet Gynecol, 2012; 2012:589568.
5.
ShawkiO, SadekME, SolimanI, BahnassyA, EbrashyA. Laparoscopic management of ovarian dermoid cysts. Middle East Fertility Soc J, 2004; 9:58.
6.
ChangCF, LinCK. A case of recurrent, bilateral ovarian mature teratoma in a young woman. BMC Women's Health, 2014; 14:57.
KimJY, JeeBC, SuhCS, KimSH. Preoperative serum anti-mullerian hormone level in women with ovarian endometriosis and mature cystic teratoma. Yonsei Med J, 2013; 54:921.
9.
LabergePY, LevesqueS. Short-term morbidity and long-term recurrence rate of ovarian dermoid cysts treated by laparoscopy versus laparotomy. J Obstet Gynaecol Can, 2006; 28:789.
10.
MedeirosLR, RosaDD, BozzettiMC, et al.Laparoscopic versus laparotomy for benign ovarian tumor. Cochrane Database Syst Rev, 2009; 2:CD004751.
11.
GobbiD, Fascetti LeonF, AquinoA, MelchiondaF, LimaM. Metachronous bilateral ovarian teratoma: A germ-line familial disorder and review of surgical management options. J Pediatr Adolesc Gynecol, 2013; 26:105.
12.
LassA. The fertility potential of women with a single ovary. Hum Reprod Update, 1999; 5:546.
13.
KentaroT, TomoyaO, HaruchiKK, KohjiM. Influence of ovarian cystectomy on the ovulatory function of the residual ovary. Eur J Obstet Gynecol Reprod Biol, 2005; 121:191.
14.
LindT, HammarströmM, LampicC, Rodriguez-WallbergK. Anti-Müllerian hormone reduction after ovarian cyst surgery is dependent on the histological cyst type and preoperative anti-Müllerian hormone levels. Acta Obstet Gynecol Scand, 2015; 94:183.
15.
JunejaSK, AvasthiK, MalhotraV, GargS. Pregnancy after unilateral salpingo oopherectomy and contralateral cystectomy. J Obstet Gynaecol India, 2012; 62:689.
