A Case of Bilateral Ovarian Teratomas: Navigating the Treatment of a 10.5 cm Cyst and a Smaller Counterpart

Ovarian tumors are a common type of neoplasm found in women. The most common type are mature cystic teratomas, also known as dermoid cysts. Ovarian mature teratomas are benign slow growing cysts of embryonal origin and can be filled with fat, hair, tooth, and other tissue. We present a woman in her 40s who presented to the Emergency Department with left lower quadrant abdominal pain for two days. Ultrasound and CT imaging demonstrated a large left adnexal mass as well as a smaller right adnexal mass, both consistent with mature ovarian teratomas. The large left ovarian dermoid cyst was removed via laparoscopic cystectomy. The final pathology report showed adipose tissue, copious hair, and several tooth-like structures, however no malignancy was identified. This case provides valuable insight into the presentation and management of bilateral ovarian cystic teratomas of different sizes, reinforcing the importance of timely imaging and intervention.