A patient aged 29 years, para 0 gravida 0, was referred to our
hospital with pain in the right adnexal region. Gynaecological examination
showed an antiverted uterus with normal volume; on the
right side a mobile mass approximately 7 cms in diameter was palpable
and the controlateral ovary was normal with a diameter of
about 5 cm. Abdominal and transvaginal US showed a normal
uterus; the right ovary presented two complex masses of 7 and 3
cm in diameter localized in different ovarian regions, respectively.
Left ovary showed normal parenchyma with a hyperechogenic
complex mass of 3 cm in diameter. The US evaluation was compatible
with the presence of multiple ovarian dermoid cysts. The
woman underwent laparoscopy to remove the ovarian masses; abdominal
cavity and uterus were normal, the right and left ovaries
presented two and one masses suspicious for dermoid cysts, respectively.
The tumors were enucleated, placed in an endobag and
removed (Figure 1). The patient had an uncomplicated postoperative
recovery and was discharged two day from laparoscopy. Definitive
pathologic examination confirmed the diagnosis of bilateral
ovarian dermoid cysts. A one year follow-up showed no evidence
of recurrence.