Salfingoophorectomy on Giant Ovarian Mature Cystic Teratoma with Umbilical Hernia


  • Rachmatia Ramadanti
  • Yusmaidi



Giant ovarian mature cysts teratoma, umbilical hernia, salfingoophorectomy


Giant ovarian cysts are tumor which have a diameter > 10 cm in radiology or reaching above  the umbilicus. Symptoms of tumor are usually asymptomatic, but can cause nonspecific stomach disorders including pain, nausea, and vomiting. In teratomas can be found sebaceous glands, sweat glands, hair follicles, fatty tissue. Investigations can be performed ultrasonography and CT-Sacn. The treatment is performed surgically by laparotomy or laparoscopy. In this case Nn.S, 22 years old came with complaints of an enlarged abdomen since 2 years ago. The physical examination of the patient are compost mentis. Blood pressure 130/100 mmHg, heart rate 105x / minute, respiratory rate 24x / minute, temperature 37.0oC. Examination of the abdomen showed an enlargement of the abdomen equivalent to 9 months gestational age with a 103 cm abdominal circumference, bowel sounds (+) 10x / minute, on percussion tympanic to deaf, found palpation hard palpated, negative tenderness. At CT scan shows that teratomas are quite large in the abdominal cavity which deviates the intrabomen into peripheral organs.


Bhasin SK, Kumar V, Kumar R. Giant Ovarian Cyst : A Case Report. JK Science. 2014;16(3): 131–133.

Agrawal SP, Rath SK, Aher GS, Gavali UG. Large Ovarian Tumor : A Case Report. IJSS. 2015;3(3):143–145.

Fatema N, Badi MMA. Case Report A Postmenopausal Woman with Giant Ovarian Serous Cyst Adenoma : A Case Report with Brief Literature Review. Hindawi. 2018; 3: 1–4.

Crum C, Lester S, Cotran R. 2007. Sistem genitalia perempuan dan payudara, dalam: Buku Ajar Patologi edisi 7. Jakarta: EGC

Fayez I, Khreisat B, Athamneh T, Omoosh R, Daibes MA. Multiple Bilateral Ovarian Mature Cystic Teratomas with Ovarian Torsion: A Case Report. OMJ. 2018; 33(2): 163–166.

Kim MS, Choi CH, Lee JW, Kim BG, Bae DS, Kim TJ. Comparison between Laparoendoscopic Single Site and Conventional Laparoscopic Surgery in Mature Cystic Teratoma of the Ovary. Wolters Kluwer. 2019; 8(3): 155–159.

Der E, Seidu S. Case Report of Three Immature Cystic Teratomas in Northern Ghana. Hindawi; 2019: 1–5.

Shi XX, Shen H, Chen T, Pan ZY, Wu XF, Zou ZN, et all. Mature Cystic Teratoma of the Ovary With Three Kinds of Entire Gastrointestinal Wall and Complete Bronchial Structure in a Pregnant Woman. Int J Surg Pathol. 2016;24(5):428‐430.

Hoang VT, Trinh CT, Le TB, le TK. Recurrence of retroperitoneal mature cystic teratoma in an adult: A case report. Radiol Case Rep. 2019;14(6):692‐696

Ozer A, Kiran H. Analysis of the factors determining the type of surgical procedure in mature cystic teratomas. Via Medica. 2017; 88(3): 134-137

Łuczak J, Baglaj M. Ovarian teratoma in children: a plea for collaborative clinical study. BMC. 2018; 75(11): 1-8

Grandjean, Danse E, Thys F, Cosyns JP, Wese FX. 2011. Secondary retroperitoneal teratoma. JBR-BTR; 2011;94(6):336‐338.

Wang A, Shu Y. Mature ovarian cystic teratoma with “sack of marbles” appearance on magnetic resonance imaging. Medicine. 2019; 93(31):1-3

Ugur MG, Ozturk E, Balat O, Dikensoy E, Teke S, Aydin A. Do high levels of CA 19-9 in women with mature cystic teratomas of the ovary warrant further evaluation? Eur J Gynaecol Oncol. 2012; 33(2): 207–210

Cho HY, Kim K, Jeon YT, Kim YB, No JH. CA19-9 elevation in ovarian mature cystic teratoma: discrimination from ovarian cancer - CA19-9 level in teratoma. Med Sci Monit. 2013;19:230‐235.

Peterson WF, Prevost EC, Edmunds FT, Hundley JM, Morris FK. Benign cystic teratomas of the ovary: a clinicostatistical study of 1,007 cases with a review of the literature. American Journal of Obstetrics & Gynecology. 1955; 70(2): 368–382.

Pensabene M, Girgenti V, Cimador M, Voti GL, Rodolico V, Siracusa F. Case Report. An Uncommon Case of Adolescent Ovarian Teratoma Incarcerated in Inguinal Hernia. Hindawi Publishing Corporation; 2016: 1-5

Nishioka K, Furukawa N, Noguchi T, Kajihara H, Horie K. Case Report Immature Teratoma after Three Laparoscopic Resections for Mature Cystic Teratomas. Hindawi Publishing Corporation; 2014:1-4

Sinha A, Ewies AAA. Review Article Ovarian Mature Cystic Teratoma: Challenges of Surgical Management. Hindawi Publishing Corporation; 2016: 1-6.

Snir OL, DeJoseph M, Wong S, Buza N, Hui P. Frequent homozygosity in both mature and immature ovarian teratomas: a shared geneticbasis of tumorigenesis. Modern pathology; 2017;30(10):1467‐1475.

Kim MJ, Kim NY, Lee DY, Yoon BK, Choi DS. Clinical characteristics of ovarian teratoma: age-focused retrospective analysis of 580 cases. AJOG. 2011; 205(1): 32.e1-32.e4

Barghi, A., Wu, M., Nguyen, V., Osgood, R., & Ghosh, A. Minimally invasive drainage of a giant ovarian mucinous cystadenoma associated with a mature cystic teratoma, JSCR. 2018; 11(1):1–4.

Saba L, Guerriero S, Sulcis R, Virgilio B, Melis G, Mallarini G. Mature and immature ovarian teratomas: CT, US and MR imaging characteristics. Eur J Radiol. 2009; 72:454–463

Sahin H, Abdullazade S, Sanci M. Mature cystic teratoma of the ovary: a cutting edge overview on imaging features. Insights Imaging. 2017;8(2):227‐241

Moridi A, Arab M, Dazli G, Kgayamzahdeh M. Clinical Points in Dermoid Cyst Management: A Review Article Atefeh. Journal of Obstetrics Gynecology and Cancer Research. 2016; 1(3):e10034

Buy JN, Ghossain. 2013. Gynecological Imaging: A Reference Guide to Diagnosis. New York: Springer

Wolfson N, Graves K, Pastorek JG, Suleman M. Benign cystic teratoma manifested as an umbilical hernia. South Med J. 1991;84(3):405.

Appleby PW, Martin TA, Hope WW. Umbilical Hernia Repair: Overview of Approaches and Review of Literature. Surg Clin North Am. 2018;98(3):561-576.



How to Cite

Rachmatia Ramadanti, & Yusmaidi. (2020). Salfingoophorectomy on Giant Ovarian Mature Cystic Teratoma with Umbilical Hernia. Medical Profession Journal of Lampung, 10(3), 448-455.