Obstet Gynecol Sci.  2017 Jul;60(4):383-386. 10.5468/ogs.2017.60.4.383.

Laparoscopic repair of a rectal fistula due to a benign ovarian dermoid cyst

• Kim JH
• Chong GO
• Chun DS
• Park SY
• Lee YH
• Hong DG

• KMID: 2386282
• DOI: http://doi.org/10.5468/ogs.2017.60.4.383

Abstract

Ovarian dermoid cysts are one of the most common benign neoplasms in women. Rectal fistula formation due to an ovarian dermoid cyst, particularly a benign dermoid cyst, is extremely rare. A 17-year-old girl with symptoms of lower abdominal pain, passage of sebaceous materials in the stool, and hematochezia was found to have an 11-cm dermoid cyst complicated with a rectal fistula formation. Laparoscopic repair of the rectal fistula was performed successfully with bilateral ovarian cystectomies. This case presents the rare formation of a fistula between a benign dermoid cyst and the rectum and its treatment using laparoscopic repair without laparotomy.

Keyword

Dermoid cyst; Laparoscopy; Rectal fistula

MeSH Terms

Abdominal Pain
Adolescent
Cystectomy
Dermoid Cyst*
Female
Fistula
Gastrointestinal Hemorrhage
Humans
Laparoscopy
Laparotomy
Rectal Fistula*
Rectum

Figure

• 

  Fig. 1 A fistula between the dermoid cyst and the rectum (arrow). (A) Transverse view and (B) sagittal view. D, dermoid cyst; R, rectum.

• 

  Fig. 2 Laparoscopic view. (A) Previously ruptured contents of the right ovarian dermoid cyst (arrow). (B) Defect of the rectum due to recto-ovarian fistula (arrow). (C) Primary repair of the rectal fistula (arrow). (D) Intrapelvic appearance after operation. R, rectum.

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