Symptoms of a dermoid ovarian cyst
In the initial stages, the dermoid cyst of the ovary does not manifest itself symptomatically and can become an accidental finding during gynecological examination or ultrasound. Clinical manifestations of a dermoid ovarian cyst are associated with its reaching a large size (15 cm or more). During this period, the patient has feelings of swelling and heaviness, soreness in the lower abdomen, sometimes an increase in the size of the abdomen. An increase in the cyst may be accompanied by pressure on the bladder or rectum, which is manifested by increased urination, impaired intestinal function (constipation or diarrhea).
With a two-handed (vaginal-abdominal or recto-abdominal) gynecological examination, the dermoid cyst of the ovary is palpated in the form of an elastic, rounded, mobile and painless formation located anteriorly and to the side of the uterus.
In gynecology, the most informative in the detection and diagnosis of a dermoid ovarian cyst is a pelvic ultrasound with a transvaginal and transabdominal sensor. Ultrasound scanning determines the size of the cyst, the thickness of the capsule and the intensity of blood supply, the ECHO density of its contents, the presence of inclusions in its cavity, often calcifications. In doubtful situations, the diagnosis of a mature teratoma is confirmed during computer diagnostics and MRI.
Treatment of a dermoid ovarian cyst
The only way to eliminate the dermoid cysts of the ovary is their surgical removal. The volume of the operation is determined depending on the patient's age, the size and the quality of the formation.In case of dermoid ovarian cysts complicated by inflammation or twisting of the leg, the operation is performed in an emergency mode and in the volumes dictated by the situation.