Document Type

Article

Publication Date

2026

Abstract

This case report describes a fourteen-year-old premenarcheal female with one week of progressive left lower quadrant pain; prior x-rays showed a small calcified pelvic focus, and a pelvic ultrasound two years after revealed a left complex cystic and solid ovarian mass with echogenic foci and altered doppler flow. The patient was transferred to a pediatric hospital for emergency exploratory laparotomy with detorsion and resection of the left ovarian mass; intraoperative inspection found a contralateral mass that was resected two weeks later. Histopathology confirmed the presence of bilateral mature cystic teratomas (MCTs) without malignant features. This case highlights the importance of pediatric-specific sonographic evaluation, routine contralateral inspection, ovarian-sparing management whenever possible, and recognition of how delayed imaging or symptom minimization in adolescents may contribute to worsened outcomes.

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