Dermoid cyst of ovary

The patient was a 23 years unbooked primigravida who presented through emergency with the history of gestational amenorrhea of 12 weeks and acute pain in the left iliac fossa for the last 3 hours. Urgent ultrasound revealed viable pregnancy of 12 weeks along with a large left ovarian cyst of heterogenous echogenicity. A diagnosis of torsion of right ovarian cyst was made and immediate laparotomy was done after counseling of the family and preparing the patient. Per-operatively, it was found that left ovarian cyst had undergone torsion. Histopathology confirmed the diagnosis of dermoid cyst