ArticleJournal of surgical case reports2026
Ruptured grade 3 mixed ovarian teratoma mimicking acute ovarian torsion: a case report.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Ovarian teratomas are common germ cell neoplasms, yet the simultaneous occurrence of mature and high-grade immature components in a single ovary remains rare. We report a 29-year-old female presenting with acute pelvic pain. Imaging suggested ovarian torsion; however, emergency laparotomy revealed a ruptured 130 mm mass. Histopathology confirmed a mixed teratoma with 25% Grade 3 immature neuroectodermal elements (FIGO Stage IC2) and 75% mature elements. Postoperative alpha-fetoprotein was 90.5 ng/ml. Following multidisciplinary review, the patient underwent completion surgery and adjuvant chemotherapy (BEP). This case underscores the clinical imperative for meticulous pathological grading and the necessity of maintaining a high index of oncological suspicion in the management of acute adnexal events.
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