ObservationĀ :
A 75-year-old patient, with no particular pathological history, admitted for acute post-traumatic abdominal pain. Indeed, she was the victim of a domestic accident: She was fallen from her height.
The clinical examination found the temperature at 38°C, diffuse abdominal tenderness and significant abdominal distension.
Biology showed a biological inflammatory syndrome with hyperleukocytosis at 16,500 elements/mm3 with a CRP at 78 mg/l.
CT scan found a left ovarian cyst with a dermoid appearance (calcifications with heterogeneous contents) associated with abundant intraperitoneal effusion with diffuse infiltration of intra-abdominal fat. A ruptured ovarian cyst in the peritoneum was concluded.
The patient was operated urgently. We found a very abundant peritoneal effusion made of sero-hematic fluid, sebum, tufts of hair and some hard calcium debris (Figure 1). There was also a left ovarian cyst which was broken (Figure 2). Regarding her age, we performed a left adnexectomy removing the ruptured dermoid cyst with abundant peritoneal cleaning (Figure 3).
The postoperative course was simple after 2 days in intensive care unit.