Kountouri, I.; Gkogkos, C.; Katsarelas, I.; Dimasis, P.; Giotas, A.; Kokkali, E.; Chandolias, M.; Gkiatas, N.; Manolakaki, D. Small Bowel Obstruction Masking a Perforated Dermoid Ovarian Cyst. Preprints2024, 2024080234. https://doi.org/10.20944/preprints202408.0234.v1
APA Style
Kountouri, I., Gkogkos, C., Katsarelas, I., Dimasis, P., Giotas, A., Kokkali, E., Chandolias, M., Gkiatas, N., & Manolakaki, D. (2024). Small Bowel Obstruction Masking a Perforated Dermoid Ovarian Cyst. Preprints. https://doi.org/10.20944/preprints202408.0234.v1
Chicago/Turabian Style
Kountouri, I., Nikolaos Gkiatas and Dimitra Manolakaki. 2024 "Small Bowel Obstruction Masking a Perforated Dermoid Ovarian Cyst" Preprints. https://doi.org/10.20944/preprints202408.0234.v1
Abstract
A 58 year old female presented with abdominal pain, vomiting and constipation. Laboratory tests indicated elevated white blood cell count and C-reactive protein levels. Imaging via CT scan revealed a large cystic mass in the right ovary, abscesses and generalized small bowel distension, which initially led to a diagnosis of ovarian cancer with peritoneal carcinomatosis. Despite conservative management, the patient’s condition did not improve, prompting a laparotomy. Intraoperative findings included generalized peritonitis, significant small bowel dilation due to inflammatory adhesions and a perforated dermoid ovarian cyst. The cyst was resected and a prophylactic ileostomy was installed. Histopathological examination confirmed the diagnosis of a benign dermoid ovarian cyst. This case illustrates the rare presentation of a perforated dermoid cyst mimicking peritoneal carcinomatosis and emphasizes the importance of considering such complications in the differential diagnosis of bowel obstruction and peritoneal disease. Early recognition and appropriate surgical intervention are crucial for optimal outcomes.
Keywords
small bowel obstruction; perforated ovarian cyst; generalized peritonitis
Subject
Medicine and Pharmacology, Surgery
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
