Laparoscopic Surgery of Bilateral Dermoid Cyst: A Case Report from Nepal

A 27 year old unmarried, sexually active obese woman with irregular menstrual cycle presented with symptoms of acute intermittent lower abdominal cramps for 1 day. On examination, general condition was fair and vitals were stable. On abdominal examination, it was soft and tender in the right iliac fossa. Per speculum examination revealed healthy cervix with minimal discharge. On per vaginal examination, uterus could not be assessed and bilateral fornices were full. Ultrasonography of abdomen and pelvis showed a left ovarian cyst of 12×11 cm with mixed echogenicity, a right ovarian cyst of 11×9 cm and right nephrolithiasis. Uterus was anteverted, normal in size and no free fluid was seen. Bilateral laparoscopic cystectomy was performed in view of suspected benign ovarian disease. Cut-section of the gross specimen showed hair, sebaceous fluid and cheesy material. Histopathology showed bilateral mature teratoma of ovary (dermoid ovarian cyst).