ENDOMETRIOMA COEXISTING WITH MATURE CYSTIC TERATOMA IN A SINGLE OVARY: A RARE PRESENTATION

case-report OA: gold CC-BY-ND-4.0
AI-generated summary by gemini-2.5-flash-lite, 2026-08-03

This case report describes a rare instance of a mature cystic teratoma and an endometrioma coexisting within a single ovary, confirmed by histopathology after imaging revealed distinct cystic lesions.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

AI-generated deep summary by claude@2026-06, 2026-06-24 · read from full text

This paper is a case report describing a 27-year-old woman with lower abdominal pain and dysmenorrhea, in whom initial ultrasonography showed a complex left ovarian cyst. Follow-up MRI indicated two distinct cystic lesions within the same ovary, and laparotomy with ovarian resection was performed, with histopathology confirming coexistence of a mature cystic teratoma (dermoid cyst) and an endometrioma. The authors emphasize the diagnostic challenge of differentiating coexisting lesions and note that accurate pre-operative diagnosis required multiple imaging modalities. This paper is centrally about endometriosis—specifically the concurrent presence of an endometrioma alongside a mature cystic teratoma in the same ovary.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Mature cystic teratomas, commonly known as dermoid cysts, are prevalent benign ovarian tumors that originate from germ cells and mature into diverse tissue types. They are usually asymptomatic but can lead to complications like torsion, rupture, or malignant transformation. Endometriosis is a condition in which endometrial tissue grows outside the uterus and it is commonly associated with pelvic pain and infertility. We report a case of a 27-year-old woman who presented with a history of lower abdominal pain and dysmenorrhea. Initial ultrasonography revealed a complex cyst in the left ovary which, on a later Magnetic Resonance Imaging (MRI) scan, proved to be two distinct cystic lesions within the same ovary. Subsequently, a laparatomy and ovarian resection was done, and histopathologic examination confirmed the coexistence of a mature cystic teratoma and an endometrioma in the left ovary. This case report highlights the unique occurence of these two conditions simultaneously, the challenges of differentiating these coexisting conditions and emphasizes the importance of utilizing multiple imaging modalities to achieve an accurate pre-operative diagnosis.
Full text 5,904 characters · extracted from oa-doi-fallback · click to expand
ENDOMETRIOMA COEXISTING WITH MATURE CYSTIC TERATOMA IN A SINGLE OVARY: A RARE PRESENTATION DOI: https://doi.org/10.55519/JAMC-02-12623Keywords: endometriosis, endometrioma, mature cystic teratoma, ovary, ovarian cyst, dermoid cystAbstract Mature cystic teratomas, commonly known as dermoid cysts, are prevalent benign ovarian tumors that originate from germ cells and mature into diverse tissue types. They are usually asymptomatic but can lead to complications like torsion, rupture, or malignant transformation. Endometriosis is a condition in which endometrial tissue grows outside the uterus and it is commonly associated with pelvic pain and infertility. We report a case of a 27-year-old woman who presented with a history of lower abdominal pain and dysmenorrhea. Initial ultrasonography revealed a complex cyst in the left ovary which, on a later Magnetic Resonance Imaging (MRI) scan, proved to be two distinct cystic lesions within the same ovary. Subsequently, a laparatomy and ovarian resection was done, and histopathologic examination confirmed the coexistence of a mature cystic teratoma and an endometrioma in the left ovary. This case report highlights the unique occurence of these two conditions simultaneously, the challenges of differentiating these coexisting conditions and emphasizes the importance of utilizing multiple imaging modalities to achieve an accurate pre-operative diagnosis. References Milingos S, Protopapas A, Drakakis P, Liapi A, Loutradis D, Rodolakis A, et al. Laparoscopic treatment of ovarian dermoid cysts: eleven years' experience. J Am Assoc Gynecol Laparosc 2004;11(4):478-85. Chae H. Coexistence of endometriosis in women with mature cystic ovarian teratoma may not be rare. J Gynecol Obstet Hum Reprod 2020;49(9):101786. Parasar P, Ozcan P, Terry KL. Endometriosis: epidemiology, diagnosis and clinical management. Curr Obstet Gynecol Rep 2017;6:34-41. Ferrario E. Association of ovarian endometriosis and dermoid cyst. Minerva Ginecol 1960;12:570-2. Frederick J, DaCosta V, Wynter S, Tenant I, McKenzie C, McDonald Y. Endometriosis co-existing with bilateral dermoid cysts of the ovaries treated by laparoscopy. West Indian Med J 2003;52(2):179-81. Taylor LH, Madhuri TK, Walker W, Morton K, Tailor A, Butler-Manuel S. Decidualisation of ovarian endometriomas in pregnancy: a management dilemma. A case report and review of the literature. Arch Gynecol Obstet 2015;291:961-8. Wagner S, Deimling T, Riley K, Harkins G. Laparoscopic hysterectomy complicated by endometriosis and bilateral dermoid cysts. J Minim Invasive Gynecol 2015;22(6):S17. Hwang JY, Lee MH, Lee JH, Kim DH, Song SH. A case of unilateral endometriosis coexisting with struma ovarii in bilateral ovarian teratoma. J Minim Invasive Gynecol 2018;25(6):941-3. Matalliotaki C, Matalliotakis M, Ieromonachou P, Goulielmos GN, Zervou MI, Laliotis A, et al. Coexistence of benign gynecological tumors with endometriosis in a group of 1,000 women. Oncol Lett 2018;15(2):1529-32. Sznurkowski JJ, Emerich J. Endometriomas are more frequent on the left side. Acta Obstet Gynecol Scand 2008;87(1):104-6. Matalliotakis IM, Cakmak H, Koumantakis EE, Margariti A, Neonaki M, Goumenou AG. Arguments for a left lateral predisposition of endometrioma. Fertil Steril 2009;91(4):975-8. Patel MD, Feldstein VA, Lipson SD, Chen DC, Filly RA. Cystic teratomas of the ovary: diagnostic value of sonography. AJR Am J Roentgenol 1998;171(4):1061-5. Mais V, Guerriero S, Ajossa S, Angiolucci M, Paoletti AM, Melis GB. The efficiency of transvaginal ultrasonography in the diagnosis of endometrioma. Fertil Steril 1993;60(5):776-80. Hottat N, Larrousse C, Anaf V, Noël JC, Matos C, Absil J, et al. Endometriosis: contribution of 3.0-T pelvic MR imaging in preoperative assessment-initial results. Radiology 2009;253(1):126-34. Canis M, Bassil S, Wattiez A, Pouly JL, Manhes H, Mage G, et al. Fertility following laparoscopic management of benign adnexal cysts. Hum Reprod 1992;7(4):529-31. Downloads Published How to Cite Issue Section License Copyright (c) 2024 Fatima Shams, Shahroze Ahmed, Mudasira Habib, Abdul Sattar Anjum This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License. Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board. USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access. AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosisendometriomadysmenorrheainfertility

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. This is a recent paper (2024) — citers typically take a year or two to land, and the OpenAlex reference graph may still be filling in.

Source provenance

europepmc
last seen: 2026-08-29T06:12:09.280863+00:00
pubmed
last seen: 2026-08-29T06:09:05.388119+00:00
unpaywall
last seen: 2026-05-11T08:34:28.763810+00:00
License: CC-BY-ND-4.0 · commercial use OK · attribution required
Courtesy of the U.S. National Library of Medicine