Mature cystic teratoma of both the fallopian tube and contralateral ovary: a case report.

UNLABELLED: Intratubal teratoma is a very rare condition. The authors believe to present the first case of a completely intratubal mature cystic teratoma with a contralateral intraovarian teratoma. Preoperative ultrasound examination allowed the intraoperative diagnosis of this rare condition, hence allowing appropriate surgical management. MATERIALS AND METHODS: A 19-year-old woman presented with a history of pelvic pain and severe dysmenorrhea. Ultrasound examination initially suggested bilateral ovarian dermoids. Upon laparoscopy, the distal left fallopian tube was obstructed and contained an inflammatory mass adhered to the rectosigmoid. The left ovary was entirely normal. A contralateral intraovarian dermoid was also identified. CONCLUSION: Although rare, when an intratubal mass is identified, consideration of intratubal dermoid should be given. Preoperative ultrasound can be of critical importance to the intraoperative diagnosis.

Intermittent partial adnexal torsion after electrosurgical tubal ligation.

Intermittent partial adnexal torsion after electrosurgical tubal ligation has been suggested as a cause of chronic pelvic pain. Little is present in the literature describing this entity or its characteristics. Unlike complete torsion of the fallopian tube, ovary, or paratubal cyst, intermittent adnexal torsion is more subtle in both clinical features and laparoscopic findings. It appears to be an underrecognized cause of pelvic pain in some women after tubal ligation. Thus these women may be subjected to many diagnostic tests and extensive evaluations with negative findings. It is not uncommon for the diagnosis to be overlooked even at the time of pelviscopic evaluation. A woman experienced the characteristic chronic, intermittent, left lower quadrant pain after electrosurgical tubal ligation. At the time of a third laparoscopic evaluation, the diagnosis of intermittent partial adnexal torsion was made, and she was treated with distal salpingectomy and ovarian fixation. She had complete resolution of her long-standing pain.

Laparoscopic diagnosis and treatment of cornual pregnancy. A case report.

An early diagnosis of interstitial pregnancy was made by serial quantitative human chorionic gonadotropin beta-subunit evaluation, transvaginal ultrasound findings and laparoscopy. Cornual resection was performed using operative endoscopic techniques; the postoperative course was unremarkable.