Mature Ovarian Teratoma and Pregnancy About a Case in Abidjan Cote d’Ivoire

Eleonore Gbary-Lagaud; Denis Effoh; Assemien Ehui; Soh Koffi; Carine Houphouet-Mwandji; Roland Adjoby

doi:doi:10.11648/j.jgo.20200804.19

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Mature Ovarian Teratoma and Pregnancy About a Case in Abidjan Cote d’Ivoire

Eleonore Gbary-Lagaud, Denis Effoh, Assemien Ehui, Soh Koffi, Carine Houphouet-Mwandji, Roland Adjoby

Published in Journal of Gynecology and Obstetrics (Volume 8, Issue 4)

Received: 23 July 2020 Accepted: 5 August 2020 Published: 20 August 2020

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Abstract

As part of the optimization of care, ultrasound scans are routine during pregnancy. The result is the more frequent finding of a benign-looking tumor associated with pregnancy. These are most often mature teratomas of the ovary also called dermoid cyst. We report a case of mature ovarian teratoma larger than 60 mm, diagnosed in early pregnancy. The objective of this clinical case is to discuss the pathophysiological mechanisms, prognosis and management in countries under medical care. This case occurred in a primigest, nulliparous 28-year-old woman who did not have a specific medical history. The pregnancy was brought to term without major complications. The mode of delivery was a cesarean section, which gave us the opportunity to perform the cystectomy. In view of this case, we propose that, in the absence of a laparoscopy or a laparotomy for an ovarian cyst associated with pregnancy and when the maternal-fetal condition allows it, therapeutic abstention may be considered. In this case, special prenatal monitoring must be carried out by a multidisciplinary team of obstetrician, sonographer, intensive care anesthesiologist and neonatologist. Apart from complications directly related to the cyst during pregnancy, we recommend a full term caesarean section. This represents an opportunity to perform the cystectomy at the same time of operation.

Published in	Journal of Gynecology and Obstetrics (Volume 8, Issue 4)
DOI	10.11648/j.jgo.20200804.19
Page(s)	117-121
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Mature Ovarian Teratoma, Pregnancy, Ultrasound

References

[1]	Bricou A, Demaria F, Antonetti E, Jouannic JM, Benifla JL. Prise en charge des kystes ovariens en cours de grossesse. Collège National des Gynécologues et Obstétriciens Français. Extrait des Mises à jour en Gynécologie Médicale 2006 publié le 29.11.2006: 270-80.
[2]	Naveau A, Panel P. Chirurgie annexielle et grossesse: indications, voies d’abord et techniques. Centre hospitalier de Versailles - Hôpital A. Mignot - 177 rue de Versailles -78150 Le Chesnay: 471-88.
[3]	Schreck AM, Mikdachi HF. Benign Ovarian Tumors in Pregnancy: A Case Report of Metachronous Ipsilateral Recurrent Mucinous Cystadenoma in Initial Pregnancy and Mature Cystic Teratoma in Subsequent Pregnancy. Cureus January 03, 2019, 11 (1): e3818. DOI 10.7759/cureus.3818.
[4]	Hélage S, Borghese B, Depinay C, Millischer-Bellaïche AE, Alexandre J, Chopin N. Tératome immature de l’ovaire en cours de grossesse. Presse Med. 2011; 40 (1P1): 102-5.
[5]	Tarriel O, Huissoud C, Rudigoz RC, Dubernard G. Tumeurs ovariennes présumées bénignes lors de la grossesse. Journal de gynécologie obstétrique et biologie de la reproduction 2013, 42: 842-55.
[6]	Damarey B, Farine MO, Vinatier D, Collinet P, Lucot JP, Kerdraon O, Poncelet E. Tératomes ovariens matures et immatures: caractéristiques en échographie, TDM et IRM. Journal de Radiologie, Janvier 2010; 1 (91): 27-8.
[7]	Iman Fayez, Basel Khreisat, Tarek Athamneh, Reema Omoosh and Mayada A. Daibes. Multiple Bilateral Ovarian Mature Cystic Teratomas with Ovarian Torsion: A Case Report. Oman Medical Journal 2018; 33 (2): 163-6. DOI 10.5001/omj.2018.30.
[8]	Khan N, Sen Ray P, Hakim S, et al. Retinal tissue in mature cystic teratoma of ovary presenting with full-term pregnancy. BMJ Case Rep 2014: 1-3. Doi: 10.1136/bcr- 2013-202914.
[9]	Wen-Chung Wang, Yen-Chein Lai. Genetic analysis results of mature cystic teratomas of the ovary in Taiwan disagree with the previous origin theory of this tumor. Hum Pathol 2016 Jun; 52: 128-35. doi: 10.1016/j.humpath.2016.01.011. Epub 2016 Feb 5.
[10]	Kathleen E, O’Neill, and Cooper AR. The Approach to Ovarian Dermoids in Adolescents and Young Women. J Pediatr Adolesc Gynecol. 2011 June; 24 (3): 176-80.
[11]	Haddad S, Selleret L, Fedida B, Benjoar M, Beljord S, Thomassen-Naggarra I, Bazot M. Masses annexielles et grossesse: quelle imagerie et quels diagnostics ? Imagerie de la femme 01 Juin 2017; 2 (27): 104-10.
[12]	Sachchidananda M, Zamurrad F, Anjum ZK and Hopkins RE. Ruptured ovarian cystic teratoma in pregnancy with diffuse peritoneal reaction mimicking advanced ovarian malignancy: a case report. Journal of Medical Case Reports 2008, 2: 203 doi: 10.1186/1752-1947-2-203.
[13]	Hasson J, Tsafrir Z et al. Comparison of adnexal torsion between pregnant and non-pregnant women. Am J of Obstet and Gynecol June 2010: 536. e1-536. e6.
[14]	Liang-Hsuan Chen, Shuenn-Dhy Chang, Hong-Yuan Huang, Hsin-Shih Wang, Yung-Kuei Soong, Hsien-Ming Wu. Repeated pregnancy with concomitant presence of ovarian teratoma: A case report and literature review. Taiwanese Journal of Obstetrics & Gynecology 2017; 56: 694-6.
[15]	Marret H. Doppler ultrasonography in the diagnosis of ovarian cysts: indications, pertinence and diagnostic criteria. J Gynecol Obstet Biol Reprod 2001; 30 (1): S20-33.
[16]	Afaf A, Felemban, Zuha A, Rashidi, Musab H, Almatrafi, and Jawaher A. Alsahabi. Autoimmune hemolytic anemia and ovarian dermoid cysts in pregnancy. Saudi Med J. 2019; 40 (4): 397–400. doi: 10.15537/smj.2019.4.24l07.
[17]	Apostolakis-Kyrus K, Indermaur MD, Prieto J. Teratoma in Pregnancy: A Case Report. J Reprod Med. Sep-Oct 2013; 58 (9-10): 458-60. PMID: 24050039.

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APA Style

Eleonore Gbary-Lagaud, Denis Effoh, Assemien Ehui, Soh Koffi, Carine Houphouet-Mwandji, et al. (2020). Mature Ovarian Teratoma and Pregnancy About a Case in Abidjan Cote d’Ivoire. Journal of Gynecology and Obstetrics, 8(4), 117-121. https://doi.org/10.11648/j.jgo.20200804.19

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ACS Style

Eleonore Gbary-Lagaud; Denis Effoh; Assemien Ehui; Soh Koffi; Carine Houphouet-Mwandji, et al. Mature Ovarian Teratoma and Pregnancy About a Case in Abidjan Cote d’Ivoire. J. Gynecol. Obstet. 2020, 8(4), 117-121. doi: 10.11648/j.jgo.20200804.19

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AMA Style

Eleonore Gbary-Lagaud, Denis Effoh, Assemien Ehui, Soh Koffi, Carine Houphouet-Mwandji, et al. Mature Ovarian Teratoma and Pregnancy About a Case in Abidjan Cote d’Ivoire. J Gynecol Obstet. 2020;8(4):117-121. doi: 10.11648/j.jgo.20200804.19

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@article{10.11648/j.jgo.20200804.19,
  author = {Eleonore Gbary-Lagaud and Denis Effoh and Assemien Ehui and Soh Koffi and Carine Houphouet-Mwandji and Roland Adjoby},
  title = {Mature Ovarian Teratoma and Pregnancy About a Case in Abidjan Cote d’Ivoire},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {8},
  number = {4},
  pages = {117-121},
  doi = {10.11648/j.jgo.20200804.19},
  url = {https://doi.org/10.11648/j.jgo.20200804.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20200804.19},
  abstract = {As part of the optimization of care, ultrasound scans are routine during pregnancy. The result is the more frequent finding of a benign-looking tumor associated with pregnancy. These are most often mature teratomas of the ovary also called dermoid cyst. We report a case of mature ovarian teratoma larger than 60 mm, diagnosed in early pregnancy. The objective of this clinical case is to discuss the pathophysiological mechanisms, prognosis and management in countries under medical care. This case occurred in a primigest, nulliparous 28-year-old woman who did not have a specific medical history. The pregnancy was brought to term without major complications. The mode of delivery was a cesarean section, which gave us the opportunity to perform the cystectomy. In view of this case, we propose that, in the absence of a laparoscopy or a laparotomy for an ovarian cyst associated with pregnancy and when the maternal-fetal condition allows it, therapeutic abstention may be considered. In this case, special prenatal monitoring must be carried out by a multidisciplinary team of obstetrician, sonographer, intensive care anesthesiologist and neonatologist. Apart from complications directly related to the cyst during pregnancy, we recommend a full term caesarean section. This represents an opportunity to perform the cystectomy at the same time of operation.},
 year = {2020}
}

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TY - JOUR
T1 - Mature Ovarian Teratoma and Pregnancy About a Case in Abidjan Cote d’Ivoire
AU - Eleonore Gbary-Lagaud
AU - Denis Effoh
AU - Assemien Ehui
AU - Soh Koffi
AU - Carine Houphouet-Mwandji
AU - Roland Adjoby
Y1 - 2020/08/20
PY - 2020
N1 - https://doi.org/10.11648/j.jgo.20200804.19
DO - 10.11648/j.jgo.20200804.19
T2 - Journal of Gynecology and Obstetrics
JF - Journal of Gynecology and Obstetrics
JO - Journal of Gynecology and Obstetrics
SP - 117
EP - 121
PB - Science Publishing Group
SN - 2376-7820
UR - https://doi.org/10.11648/j.jgo.20200804.19
AB - As part of the optimization of care, ultrasound scans are routine during pregnancy. The result is the more frequent finding of a benign-looking tumor associated with pregnancy. These are most often mature teratomas of the ovary also called dermoid cyst. We report a case of mature ovarian teratoma larger than 60 mm, diagnosed in early pregnancy. The objective of this clinical case is to discuss the pathophysiological mechanisms, prognosis and management in countries under medical care. This case occurred in a primigest, nulliparous 28-year-old woman who did not have a specific medical history. The pregnancy was brought to term without major complications. The mode of delivery was a cesarean section, which gave us the opportunity to perform the cystectomy. In view of this case, we propose that, in the absence of a laparoscopy or a laparotomy for an ovarian cyst associated with pregnancy and when the maternal-fetal condition allows it, therapeutic abstention may be considered. In this case, special prenatal monitoring must be carried out by a multidisciplinary team of obstetrician, sonographer, intensive care anesthesiologist and neonatologist. Apart from complications directly related to the cyst during pregnancy, we recommend a full term caesarean section. This represents an opportunity to perform the cystectomy at the same time of operation.
VL - 8
IS - 4
ER -

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Author Information

Eleonore Gbary-Lagaud

Teaching Hospital Center of Angre, Mother and Child Department, Felix Houphouet Boigny University, Abidjan, Cote d’Ivoire
Denis Effoh

Teaching Hospital Center of Angre, Mother and Child Department, Felix Houphouet Boigny University, Abidjan, Cote d’Ivoire
Assemien Ehui

Pathological Anatomy Histology Embryology Cytogenetics Department, Felix Houphouet Boigny University, Abidjan, Cote d’Ivoire
Soh Koffi

Teaching Hospital Center of Angre, Mother and Child Department, Felix Houphouet Boigny University, Abidjan, Cote d’Ivoire
Carine Houphouet-Mwandji

Teaching Hospital Center of Angre, Mother and Child Department, Felix Houphouet Boigny University, Abidjan, Cote d’Ivoire
Roland Adjoby

Teaching Hospital Center of Angre, Mother and Child Department, Felix Houphouet Boigny University, Abidjan, Cote d’Ivoire

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APA Style

Eleonore Gbary-Lagaud, Denis Effoh, Assemien Ehui, Soh Koffi, Carine Houphouet-Mwandji, et al. (2020). Mature Ovarian Teratoma and Pregnancy About a Case in Abidjan Cote d’Ivoire. Journal of Gynecology and Obstetrics, 8(4), 117-121. https://doi.org/10.11648/j.jgo.20200804.19

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ACS Style

Eleonore Gbary-Lagaud; Denis Effoh; Assemien Ehui; Soh Koffi; Carine Houphouet-Mwandji, et al. Mature Ovarian Teratoma and Pregnancy About a Case in Abidjan Cote d’Ivoire. J. Gynecol. Obstet. 2020, 8(4), 117-121. doi: 10.11648/j.jgo.20200804.19

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AMA Style

Eleonore Gbary-Lagaud, Denis Effoh, Assemien Ehui, Soh Koffi, Carine Houphouet-Mwandji, et al. Mature Ovarian Teratoma and Pregnancy About a Case in Abidjan Cote d’Ivoire. J Gynecol Obstet. 2020;8(4):117-121. doi: 10.11648/j.jgo.20200804.19

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@article{10.11648/j.jgo.20200804.19,
  author = {Eleonore Gbary-Lagaud and Denis Effoh and Assemien Ehui and Soh Koffi and Carine Houphouet-Mwandji and Roland Adjoby},
  title = {Mature Ovarian Teratoma and Pregnancy About a Case in Abidjan Cote d’Ivoire},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {8},
  number = {4},
  pages = {117-121},
  doi = {10.11648/j.jgo.20200804.19},
  url = {https://doi.org/10.11648/j.jgo.20200804.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20200804.19},
  abstract = {As part of the optimization of care, ultrasound scans are routine during pregnancy. The result is the more frequent finding of a benign-looking tumor associated with pregnancy. These are most often mature teratomas of the ovary also called dermoid cyst. We report a case of mature ovarian teratoma larger than 60 mm, diagnosed in early pregnancy. The objective of this clinical case is to discuss the pathophysiological mechanisms, prognosis and management in countries under medical care. This case occurred in a primigest, nulliparous 28-year-old woman who did not have a specific medical history. The pregnancy was brought to term without major complications. The mode of delivery was a cesarean section, which gave us the opportunity to perform the cystectomy. In view of this case, we propose that, in the absence of a laparoscopy or a laparotomy for an ovarian cyst associated with pregnancy and when the maternal-fetal condition allows it, therapeutic abstention may be considered. In this case, special prenatal monitoring must be carried out by a multidisciplinary team of obstetrician, sonographer, intensive care anesthesiologist and neonatologist. Apart from complications directly related to the cyst during pregnancy, we recommend a full term caesarean section. This represents an opportunity to perform the cystectomy at the same time of operation.},
 year = {2020}
}

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