Topical Hemostatic Agent May Be Mistaken for Ovarian Teratoma

Ovarian teratomas are common, as is use of topical hemostatic agents in ovarian surgery. Following laparoscopic right ovarian cystectomy, a flowable hemostatic agent was placed in the ovarian bed. Postoperative ultrasound demonstrated an enlarged heterogeneous right ovary with solid and cystic compo...

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Bibliographic Details
Published inJournal of pediatric & adolescent gynecology Vol. 35; no. 4; pp. 512 - 515
Main Authors Hayes, Katherine G., French, Amanda V.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.08.2022
Subjects
adolescent
dermoid
hemostatic agent
hemostatic matrix
ovarian cystectomy
recurrence
recurrence
adolescent
ovarian cystectomy
dermoid
hemostatic agent
hemostatic matrix
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ISSN1083-3188
1873-4332
1873-4332
DOI10.1016/j.jpag.2021.12.001

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Summary:Ovarian teratomas are common, as is use of topical hemostatic agents in ovarian surgery. Following laparoscopic right ovarian cystectomy, a flowable hemostatic agent was placed in the ovarian bed. Postoperative ultrasound demonstrated an enlarged heterogeneous right ovary with solid and cystic components interpreted as residual or recurrent teratoma. Visual inspection during repeat laparoscopy revealed an irregularly shaped, enlarged right ovary with a smooth cortex. A cavity inside the ovary contained brown, shaggy material. Pathological evaluation demonstrated normal ovary and fibrin. We report the first case of a hemostatic agent routinely used in ovarian cystectomy postoperatively, mimicking a teratoma. Consideration of this finding is important when planning surgery in adolescent patients to optimize fertility preservation and minimize ovarian follicle damage.
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ISSN:1083-3188
1873-4332
1873-4332
DOI:10.1016/j.jpag.2021.12.001