Autoamputation of an Ovarian Mature Cystic Teratoma: A Case Report with Review of Literature

Abstract

We are discussing auto-amputation of an ovary with mature cystic teratoma (MCT), which is the first case to be reported in Bahrain. A 31-year-old woman was referred to the clinic due to a left ovarian tumor. Pelvic examination and ultrasonography were done assessing the ovary, and a cyst was noted after investigations; the results revealed a 4.3 x 3.4 x 4.5 cm MCT. It was therefore agreed to proceed with laparoscopic removal of the tumour after counseling the patient about her case and possible treatment options. The mass was identified as floating in the peritoneum without any ligamentous or direct connection with the pelvic organs. The right ovary was normal. However, the left ovary and its tube could not be identified in the proper anatomical location. The mass was successfully removed through laparoscopy. The presentation of such mass is rare in terms of its autoamputation and its attachment to the peritoneum, further away from its origin within the left ovary. It is the first reported presentation of such mass in Bahrain.