Chemical Peritonitis Due to Spontaneous Ruptured Teratoma: A Case Report

  • athena behforouz Mail assistant professor of shahid beheshti university of medical sciences
Dermoid Cyst, Mature Teratoma, Ruptured Cyst, Chemical Peritonitis, Spontaneous Ruptured dermoid


One of the most common benign tumors in reproductive age women is mature Teratoma. We reported a 35 years old woman who presented with abdominal pain, nausea, vomiting and fever. The patient underwent laparotomy with the probable diagnosis of ovarian torsion. The evidence in the peritoneal cavity revealed chemical peritonitis due to spontaneous ruptured of dermoid cyst.


1. Lipson SA, Hricak H. MR imaging of the female pelvis. Radiologic clinics of North America. 1996;34(6):1157-82.
2. Comerci JT, Jr., Licciardi F, Bergh PA, Gregori C, Breen JL. Mature cystic teratoma: a clinicopathologic evaluation of 517 cases and review of the literature. Obstetrics and gynecology. 1994;84(1):22-8.
3. Rubod C, Triboulet JP, Vinatier D. [Ovarian dermoid cyst complicated by chemical peritonitis. Case report]. Gynecologie, obstetrique & fertilite. 2007;35(7-8):651-3.
4. Peterson WF, Prevost EC, Edmunds FT, Hundley JM, Jr., Morris FK. Benign cystic teratomas of the ovary; a clinico-statistical study of 1,007 cases with a review of the literature. American journal of obstetrics and gynecology. 1955;70(2):368-82.
5. Ayhan A, Bukulmez O, Genc C, Karamursel BS, Ayhan A. Mature cystic teratomas of the ovary: case series from one institution over 34 years. European journal of obstetrics, gynecology, and reproductive biology. 2000;88(2):153-7.
6. Disaia P, Creasman W. Germ cell, stromal, and other ovarian tumors. Clinical Gynecologic Oncology. 2007:369-95.
7. Gendre J, Sebban-Rozot C, Regent D, Ranchoup Y, Ridereau-Zins C, Vullierme MP, et al. [Peritoneal parasitic teratoma and chemical dermoid peritonitis]. Journal de radiologie. 2011;92(5):382-92.
8. Nitinavakarn B, Prasertjaroensook V, Kularkaew C. Spontaneous rupture of an ovarian dermoid cyst associated with intra-abdominal chemical peritonitis: characteristic CT findings and literature review. Journal of the Medical Association of Thailand = Chotmaihet thangphaet. 2006;89(4):513-7.
9. Huss M, Lafay-Pillet MC, Lecuru F, Ruscillo MM, Chevalier JM, Vilde F, et al. [Granulomatous peritonitis after laparoscopic surgery of an ovarian dermoid cyst. Diagnosis, management, prevention, a case report]. Journal de gynecologie, obstetrique et biologie de la reproduction. 1996;25(4):365-72.
10. Morgante G, Ditto A, la Marca A, Trotta V, De Leo V. Surgical treatment of ovarian dermoid cysts. European journal of obstetrics, gynecology, and reproductive biology. 1998;81(1):47-50.
11. Achtari C, Genolet PM, Bouzourene H, De Grandi P. [Chemical peritonitis after iatrogenic rupture of a dermoid cyst of the ovary treated by coelioscopy. Apropos of a case and review of the literature]. Gynakologisch-geburtshilfliche Rundschau. 1998;38(3):146-50.
12. Fielder EP, Guzick DS, Guido R, Kanbour-Shakir A, Krasnow JS. Adhesion formation from release of dermoid contents in the peritoneal cavity and effect of copious lavage: a prospective, randomized, blinded, controlled study in a rabbit model. Fertility and sterility. 1996;65(4):852-9.
13. Pantoja E, Noy MA, Axtmayer RW, Colon FE, Pelegrina I. Ovarian dermoids and their complications. Comprehensive historical review. Obstetrical & gynecological survey. 1975;30(1):1-20.
14. Park SB, Kim JK, Kim KR, Cho KS. Imaging findings of complications and unusual manifestations of ovarian teratomas. Radiographics : a review publication of the Radiological Society of North America, Inc. 2008;28(4):969-83.
15. Milad MP, Olson E. Factors that increase the risk of leakage during surgical removal of benign cystic teratomas. Human reproduction. 1999;14(9):2264-7.
16. Audebert AJ, Gaafar K, Emperaire JC. [Treatment using laparoscopic surgery of dermoid cysts. Apropos of a series of 33 cysts]. Journal de gynecologie, obstetrique et biologie de la reproduction. 1993;22(1):27-32.
17. Koshiba H. Severe chemical peritonitis caused by spontaneous rupture of an ovarian mature cystic teratoma: a case report. The Journal of reproductive medicine. 2007;52(10):965-7.
18. Shamshirsaz AA, Shamshirsaz AA, Vibhakar JL, Broadwell C, Van Voorhis BJ. Laparoscopic management of chemical peritonitis caused by dermoid cyst spillage. JSLS : Journal of the Society of Laparoendoscopic Surgeons. 2011;15(3):403-5.
How to Cite
behforouz athena. Chemical Peritonitis Due to Spontaneous Ruptured Teratoma: A Case Report. Acta Med Iran. 58(9):467-469.
Case Report(s)