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- Title
Bilateral Mature Cystic Teratoma Masquerading as an Ectopic Pregnancy: A Case Report and Review of the Literature.
- Authors
Chew, Kah Teik; Abu, Muhammad Azrai; Ahmad, Mohd Faizal; Abdul Ghani, Nur Azurah
- Abstract
Background: The presentation of an adnexal mass with a raised beta–human chorionic gonadotropin (β-hCG level) does not necessarily indicate a diagnosis of ectopic pregnancy. This article highlights an unusual case of benign cystic teratomas with β-hCG production, mimicking the presentation of an ectopic pregnancy. Case: A 28-year-old woman who had a 10-week period of amenorrhea presented with an acute abdomen and an increased β-hCG level. An ultrasound scan revealed features suggestive of an ectopic pregnancy. Results: The patient underwent right salpingo-oophorectomy (for torsion of an ovarian cyst) and a left cystectomy (for an ovarian cyst). There was no evidence of an ectopic pregnancy found during the surgery. Histopathology examination reported that she had bilateral mature cystic teratomas. Conclusions: Careful assessment and consideration of ovarian accidents or neoplasms is crucial, especially in the presence of an ovarian mass with an increased β-hCG level.
- Subjects
ACUTE abdomen; AMENORRHEA; CHORIONIC gonadotropins; DIAGNOSTIC errors; ECTOPIC pregnancy; OVARIAN tumors; TERATOMA; ULTRASONIC imaging; OVARIAN cysts; CYSTECTOMY; HYSTERO-oophorectomy; DISEASE complications; DIAGNOSIS
- Publication
Journal of Gynecologic Surgery, 2018, Vol 34, Issue 5, p252
- ISSN
1042-4067
- Publication type
Article
- DOI
10.1089/gyn.2018.0022