Images in Gynecologic Surgery

Omental Teratoma Misdiagnosed as Gossypiboma Tae-Hee Kim, MD, PhD, and Hae-Hyeog Lee, MD, PhD* From the Department of Obstetrics and Gynecology, Soonchunhyang University College of Medicine, Bucheon, Republic of Korea (all authors).

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A 38-year-old woman complained of right lower quadrant pain. The pelvic examination revealed a hard mass on the right side of the upper cervix. She had undergone pelviscopic right salpingectomy 9 years ago and gave birth by cesarean section 6 years ago. The computed tomographic findings of a nodular lesion 2 cm in diameter and located in the right pelvic cavity suggested a gossypiboma and a calcified hematoma (Fig. 1A).

Laparoscopic findings revealed a whitish, irregular, spindle-shaped, hard mass resembling bone enclosed by yellow omentum (Fig. 1B). The mass was located on the right side and was not connected with the ovary or uterus. The mass was removed laparoscopically. Pathologic findings revealed a cartilaginous loose body. The diagnosis was omental teratoma. Omental teratoma is very rare. The prognosis is good except in patients with immature teratoma.

Fig. 1 (A) Computed tomographic findings of a curvilinear, irregularly shaped, strongly enhancing, nodular lesion 2 cm in diameter. (B) Laparoscopic findings revealed a whitish, irregular, spindle-shaped, hard mass resembling bone enclosed by yellow omentum.

Supported in part by the Soonchunhyang University Research Fund. The author declares no conflict of interest. Corresponding author: Hae-Hyeog Lee, MD, PhD, Department of Obstetrics and Gynecology, Soonchunhyang University Bucheon Hospital, 170 Jomaruro, Wonmi-gu, Bucheon-si, Gyeunggi-do, 420-767 Republic of Korea. 1553-4650/$ - see front matter Ó 2015 AAGL. All rights reserved. http://dx.doi.org/10.1016/j.jmig.2014.12.005

E-mail: [email protected] Submitted December 1, 2014. Accepted for publication December 2, 2014. Available at www.sciencedirect.com and www.jmig.org

Omental Teratoma Misdiagnosed as Gossypiboma.

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