To the best of our knowledge, this is the first report of recurrent chemical peritonitis due to the spontaneous rupture of a mature cystic teratoma treated with laparoscopic surgery and postoperative management with fertility preservation.
Mature cystic teratomas are the most frequent type of benign ovarian tumors in women of reproductive age [1]. Acute abdominal manifestations of mature cystic teratomas include tumor pedicle torsion and rupture, with torsion occurring more frequently than rupture. The symptoms of both conditions are similar; however, in cases of torsion, blood tests show significant increases in tumor markers (CA125, CA19-9, and SCC) and CRP. In a previous review, the median values for CA125, CA19-9, and SCC were 90.3 U/mL, 160.9 U/mL, and 3.1 ng/mL, respectively (CRP values not reported)…