Author(s): Dema Adwan, Solaiman Al-marrawi, Aya Takla, Ameena Odeh, Wasim Alnjjad and Ayat Ebrahim
Abstract: Germ cell tumors are malignant (cancerous) or nonmalignant (benign, noncancerous) tumors that are comprised mostly of germ cells, the cells that develop in the embryo and become the cells that make up the reproductive system in male and female. Most ovarian tumors are of germ cell origin. A 18-year-old virginal Syrian female was taken to the emergency Department at Damascus university of obstetrics and gynecology on 31.1.2023 with gradual distension of abdomen which had been noticed by parents for the last 6 months. As bedside ultrasonography (USG) showed mixed echogenic mass in the lower abdomen, CT scan of abdomen was requested for further delineation. CT scan of abdomen done on 1.2.2023 showed a giant (about 13×23×26 cm) mixed density mass with homogenously enhancing well defined borders in the abdomen extending from the pelvic cavity to the epigastric region and crossing the medial line causing significant pressure effect downwards towards urinary bladder and contrast material filled guts outwards and backwards mostly occupying the anterior part of abdominal cavity. The tumor was removed surgically and diagnosed as ovarian teratoma histopathologically.
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