Ruptured grade 3 mixed ovarian teratoma mimicking acute ovarian torsion: a case report.

Authors

Maria Ashafaq, Hamyel Tahir, Bilal Aslam, Dania Hussain, Anas Nasir, Safoora Anjum, Sofia Muryem, Saima Rafique, Imran Nazir, Misbah Aslam, Leka Sree Anbarasan, Fazeela Bibi, Shamsul Qamar, Ahmad Sanan, Said Hamid Sadat

Published in

Journal of surgical case reports. Volume 2026. Issue 7. Pages rjag468. Epub Jul 11, 2026.

Abstract

Ovarian teratomas are common germ cell neoplasms, yet the simultaneous occurrence of mature and high-grade immature components in a single ovary remains rare. We report a 29-year-old female presenting with acute pelvic pain. Imaging suggested ovarian torsion; however, emergency laparotomy revealed a ruptured 130 mm mass. Histopathology confirmed a mixed teratoma with 25% Grade 3 immature neuroectodermal elements (FIGO Stage IC2) and 75% mature elements. Postoperative alpha-fetoprotein was 90.5 ng/ml. Following multidisciplinary review, the patient underwent completion surgery and adjuvant chemotherapy (BEP). This case underscores the clinical imperative for meticulous pathological grading and the necessity of maintaining a high index of oncological suspicion in the management of acute adnexal events.

PMID:
42436886
Bibliographic data and abstract were imported from PubMed on 12 Jul 2026.

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