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{
    "pk": 61797,
    "title": "Point-of-Care Ultrasound Appearance of Cystic Ovarian Teratoma Causing Ovarian Torsion",
    "subtitle": null,
    "abstract": "We present a case of ovarian torsion due to a nine-centimeter cystic ovarian teratoma diagnosed on transabdominal point-of-care ultrasound (POCUS). A 29-year-old female presented with abrupt onset of 10/10  left lower quadrant pain for one hour. She had a known left-sided ovarian cyst. Patient was normotensive,  not tachycardic, and afebrile. Bimanual exam showed a seven-centimeter left, adnexal mass. POCUS  revealed a nine-centimeter cystic structure in the left adnexa with a three-centimeter echogenic focus,  consistent with a dermoid plug. A radiology-performed transvaginal ultrasound confirmed the left sided  mass with absent blood flow. Emergent diagnostic laparoscopy showed the cyst was torsed twice and was  found to contain adipose tissue and hair on pathologic evaluation consistent with a benign cystic teratoma.  The patient did well postoperatively and was discharged the next day. Ovarian torsion is a gynecologic  surgical emergency. The characteristic appearance of a cyst with “dermoid plug” in the appropriate  clinical setting can lead to earlier diagnosis and treatment.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "dermoid cyst"
        },
        {
            "word": "teratoma"
        },
        {
            "word": "ultrasound"
        }
    ],
    "section": "Case Report",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/2612j1qz",
    "frozenauthors": [
        {
            "first_name": "Nicholas",
            "middle_name": "",
            "last_name": "Bove",
            "name_suffix": "",
            "institution": "Department of Emergency Medicine, University of California Irvine, Orange, CA, USA",
            "department": ""
        },
        {
            "first_name": "Mark",
            "middle_name": "",
            "last_name": "Langdorf",
            "name_suffix": "",
            "institution": "Department of Emergency Medicine, University of California Irvine, Orange, CA, USA",
            "department": ""
        }
    ],
    "date_submitted": "2020-11-24T13:03:30+03:00",
    "date_accepted": "2020-11-24T13:03:30+03:00",
    "date_published": "2022-01-01T03:00:00+03:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_medjem/article/61797/galley/47676/download/"
        }
    ]
}