Teratoma is the most common ovarian tumour associated with pregnancy. The complications in pregnancy include torsion, rupture and malignant transformation mimicking ovarian carcinoma. Its association with intestinal obstruction is uncommon. Case: A 35 year old gravida 5 para 4 woman with 18 week gestation was referred to our hospital with a 2 week history of abdominal pain, abdominal distension and vomiting. Initial physical examination and ultrasound scan showed bilateral ovarian masses and intrauterine singleton viable pregnancy. At surgery the right mass was observed to be adherent to a part of the small intestine. The masses were excised and confirmed grossly and histologically as benign cystic teratoma. She was well and discharged nine days post operatively. The pregnancy was managed conservatively and she was delivered of a normal male baby at term by spontaneous vertex delivery. Although intestinal obstruction due to benign cystic teratoma in pregnancy is uncommon, abrupt surgical intervention and conservative management is important for favourable outcome (Afr J Reprod Health 2011; 15[1]: 115-118).

 

Résumé

 

Occlusion intestinale causée par le tératome kystique ovarien bilatéral chez une femme enceint : Rapport d’un cas. Le tératome est la tumeur de l’ovaire la plus commune liée à la grossesse.  Les complications dans la grossesse comprennent la torsion, la rupture et la transformation maligne qui cherche à imiter le cancer ovarien. Son association avec l’occlusion intestinale n’est pas commune : Le cas A : Une femme enceinte (gravide 5, 4^ème pare) avec 18 semaines de gestation a été orientée vers notre hôpital avec une histoire d’une douleur abdominale, une distension abdominale et le vomissement.  L’examen physique initial et l’examen par l’échographie ont montré des masses ovariennes bilatérales et une grossesse viable d’intra-utérine simple. Pendant la chirurgie, on a constaté que la masse à droite était adhérée à une partie de l’intestin.  Les masses ont été excisées et ont été confirmées comme étant largement et histologiquement un tératome kystique bénin.  Elle s’est bien rétablie et a été renvoyé de l’hôpital neuf jours après l’opération chirurgicale.  Nous avons pris en charge la grossesse de manière conservatrice et elle a accouché d’ un garçon normal à terme à travers une présentation  du sommet.  Bien que l’occlusion intestinale causée par le tératome kystique bénigne pendant la grossesse n’est pas commune, il faut une intervention brusque et un traitement conservateur pour réaliser de bons résultats (Afr J Reprod Health 2011; 15[1]: 115-118).

 

 

  Keywords: Intestinal obstruction, Teratoma, Pregnancy

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