| Title: |
Bilateral Giant Ovarian Masses in a Pre-pubertal Girl: A Case of Mature Teratoma and Torsion Presenting With Acute Urinary Retention. |
| Authors: |
Oyeniran, Ayodeji O; Awodele, Kehinde; Adeyemo, Sunday C; Oyelami, Olusegun S; Akintunde, Olugbenga P; Omopariola, Samuel O; Emmanuel, Babalola O; Fasanu, Adeniyi O; Olabode, Eniola D |
| Source: |
Cureus: Journal of Medical Science; Dec2025, Vol. 17 Issue 12, p1-6, 6p |
| Subject Terms: |
FERTILITY preservation; OVARIES; RETENTION of urine; OVARIAN cysts; MINORS; GYNECOLOGIC oncology; DERMOID cysts; HORMONE therapy |
| Abstract: |
Mature cystic teratoma (MCT) is a common benign ovarian neoplasm, but its presentation as bilateral, giant masses in a prepubertal child is rare. Complications like torsion and acute urinary retention pose significant diagnostic and management challenges, where fertility preservation is a primary concern. An 8-year-old premenarchal girl presented with a four-day history of abdominal pain, fever, and acute urinary retention. Examination revealed a large, firm abdominal mass. Imaging suggested bilateral immature teratoma. Emergency laparotomy revealed two massive ovarian masses, with the left torsed, ischemic, and a rudimentary uterus. Bilateral ovarian cystectomy was successfully performed. Histopathology confirmed a right-sided mature cystic teratoma and left-sided hemorrhagic necrosis from torsion, ruling out malignancy. The patient had an uneventful recovery and was commenced on hormone replacement therapy due to compromised ovarian reserve. At two-year follow-up, she remains stable with no complaints. This case underscores that giant ovarian teratomas, though rare in children, can present dramatically. It highlights the critical importance of a fertility-preserving surgical approach even in complex cases and the necessity of long-term, multidisciplinary follow-up to manage subsequent endocrine sequelae. [ABSTRACT FROM AUTHOR] |
| : |
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| Database: |
Complementary Index |