ReviewThe Journal of international medical research2023
Clinical characteristics and laparoscopic surgical outcomes of ovarian dermoid cysts complicated by spontaneous rupture: nine cases and a literature review.
Review in The Journal of international medical research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 10 citations in OpenAlex.
- Ovarian preservation in a pregnant woman with a leaking dermoid cyst and ovarian torsion: a case study and review of diagnostic and therapeutic challenges.International journal of surgery case reports · 2026Article
- Complete adnexal torsion of a large dermoid ovarian cyst with ovarian and tubal preservation in a 17-year-old patient: a case report.The Pan African medical journal · 2026Article
- Clinical and aesthetic outcomes of transumbilical single-port versus multi-port laparoscopic ovarian cystectomy.Frontiers in endocrinology · 2026Article
- Peritonectomy for disseminated peritoneal implantation after dermoid cyst spillage causing recurrent peritonitis and xanthogranulomatous reaction: a case report.Journal of surgical case reports · 2025Article
- Combined Pharmacological and surgical treatments for recurrent chemical peritonitis due to rupture of a bilateral mature cystic teratoma: a case report.BMC women's health · 2025Article
- New Bipolar Electrosurgical Vessel Sealing Device Provides Improved Performance and Procedural Efficiency.Medical devices (Auckland, N.Z.) · 2025Article
- Ruptured ovarian dermoid causing chemical peritonitis: a case report.BJR case reports · 2025Article
- Article
- Multimodality imaging of acute gynecological emergencies-a pictorial essay.Abdominal radiology (New York) · 2024Review
- Small Bowel Obstruction Masking a Perforated Dermoid Ovarian Cyst.Diagnostics (Basel, Switzerland) · 2024Article
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Authors and funding
2 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveTo clarify the clinical characteristics and laparoscopic surgical outcomes of dermoid cysts complicated by spontaneous rupture.
methodsThis was a single-center retrospective observational study of patients with dermoid cysts treated between January 2005 and December 2021.
resultsAmong 1205 cases of dermoid cysts, spontaneous rupture occurred in nine and torsion occurred in 83 cases. No obvious triggers for rupture were identified, except for one postpartum case with fundal uterine pressure maneuver. Rupture was identified by computed tomography (CT) in six cases. Patients with ruptured cysts had significantly higher serum C-reactive protein (CRP), cancer antigen 125 (CA125), carbohydrate antigen 19-9 (CA19-9), and squamous cell carcinoma antigen (SCC) levels compared with patients with uncomplicated dermoid cysts or cysts with torsion. Laparoscopic management was possible except for one case with severe adhesion, which required laparotomy. Two patients required prolonged postoperative administration of antibiotics due to refractory chemical peritonitis.
conclusionCombined use of CT imaging and elevated levels of CRP, CA125, CA19-9, and SCC may help to differentiate cyst rupture from torsion. Laparoscopic surgery may be a feasible option; however, prompt laparotomic conversion should be considered in cases with difficult adhesiolysis. Refractory chemical peritonitis may occur after successful surgical management.
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