BENIGN CYSTIC TERATOMA OF OVARY
A female of 24 with recurrent abdominal pain for 6 months presented with a more severe attack which had lasted 7 hours. Pain radiated to the right iliac fossa and a provisional diagnosis of acute appendicitis was made. At laparotomy the mounted specimen and a normal appendix were removed.
The specimen is an ovarian cyst 9 cm in maximum diameter, opened and turned inside out to display the internal surface. Superiorly 2 teeth project either side of a central nodule 1 cm in diameter. A cord-like structure 5 cm in length runs across the surface on the left hand side. Superiorly and posteriorly hair is arising from skin. The cyst wall is congested and haemorrhagic. This is an example of a strangulated benign cystic teratoma of the ovary.