A case of a lacerated dermoid ovarian cyst

Ovarian cysts are quite common among gynecological patients. Surgically available for small hospitals, they are undoubtedly of interest to the general practitioner. Often unnoticed for a long time, ovarian cysts nevertheless always pose for a woman a threat of either cancerous degeneration, or the possibility of twisting, with all its consequences: subsequent fusion with surrounding organs, hemorrhages into the tumor, suppurations, ruptures, peritonitis and lacing. The reason for such detachments is, in essence, still unclear. Franz, Slavyansky believe that the pedicle of the tumor often makes a 90 ° turn over the upper edge of the broad ligament. With greater twisting, the blood circulation of the tumor is disrupted until it stops completely. With a slow malnutrition of the tumor, the latter first stagnates and then shrinks. Its walls undergo reverse development, and the cyst, thus, can heal itself. With rapid twisting and severe circulatory disorders in the cyst, we have a clinical picture of an "acute abdomen", which requires immediate surgery. Sometimes the cyst leg, twisted with thrombosed vessels, from lack of nutrition, atrophies, becomes thinner and interrupted. The tumor is detached, made either completely free in the abdominal cavity, or feeds through adhesions with the surrounding organs.