We experienced a case of an autoamputated ovarian cystic teratoma in 1 60-year-old female patient who complained of backache and lower abdominal discomfort for 1 year duration. Ultrasonographic examination revealed a 9×6.7×4.6cm adnexal mass
with
well
demarcated, round, mixed echoic density in the right pelvic cavity. She was diagnosed as having an ovarian tumor and underwent exploratory laparotomy. No additional surgical procedure was performed due to an autoamputated wandering ovarian tumor.
Grossly, the tumor was encapsulated and revealed cystic space containing yellowish sebaceous materials and multiple hair on the cut surface. Hisologically, the tumor consisted of stratified squamous epithelium, sebaceous glands, and hair
follicles
on
the wall of the cyst.
It is not unusual that torsion of the uterine adnexa cause acute abdominal pain and requires emergency operation, and a asymptomatic autoamputated ovarian tumor and distal tube is a very rare gynecologic doncition. The predisposing factors to
cause
torsion of the uterine adnexa are assumed to be an increase in length of the adnexa, pelvic congestion by several causes, and formation of a pedicle from an enlarged ovary. An intermittent torsion , vascular accident, and subsequent infarction of
the
uterine adnexa can occur at any age of life, even antenatal period, with absence of so transient symptoms which may be overlooked, and result I anatomic separation1-3). We present a case of a subclinical torsion of an ovarian tumor and distal
uterine
tube with subsequent amputation, and calcification, discovered during laparotomy.
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