{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T04:13:56Z","timestamp":1783743236172,"version":"3.55.0"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T00:00:00Z","timestamp":1783728000000},"content-version":"vor","delay-in-days":10,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Ovarian teratomas are common germ cell neoplasms, yet the simultaneous occurrence of mature and high-grade immature components in a single ovary remains rare. We report a 29-year-old female presenting with acute pelvic pain. Imaging suggested ovarian torsion; however, emergency laparotomy revealed a ruptured 130\u00a0mm mass. Histopathology confirmed a mixed teratoma with 25% Grade 3 immature neuroectodermal elements (FIGO Stage IC2) and 75% mature elements. Postoperative alpha-fetoprotein was 90.5\u00a0ng\/ml. Following multidisciplinary review, the patient underwent completion surgery and adjuvant chemotherapy (BEP). This case underscores the clinical imperative for meticulous pathological grading and the necessity of maintaining a high index of oncological suspicion in the management of acute adnexal events.<\/jats:p>","DOI":"10.1093\/jscr\/rjag468","type":"journal-article","created":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T03:57:19Z","timestamp":1783742239000},"source":"Crossref","is-referenced-by-count":0,"title":["Ruptured grade 3 mixed ovarian teratoma mimicking acute ovarian torsion: a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Maria","family":"Ashafaq","sequence":"first","affiliation":[{"name":"University College of Medicine & Dentistry (UCMD), University of Lahore , 1 km Defense Road, Bhoptian Chowk, 54792, Lahore ,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamyel","family":"Tahir","sequence":"additional","affiliation":[{"name":"CMH Medical College , 4 A link Wahdat Road, Lahore ,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bilal","family":"Aslam","sequence":"additional","affiliation":[{"name":"University of Lahore , 1 km Defense Road, Bhoptian Chowk, 54792, Lahore ,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dania","family":"Hussain","sequence":"additional","affiliation":[{"name":"United Medical and Dental College , House D229, Sector 31\/E, Lukhnow Society, Karachi 74900 ,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anas","family":"Nasir","sequence":"additional","affiliation":[{"name":"Community of Medicine , Boys' Hostel, Sheikh Zayed Medical College, Rahim Yar Khan 64200 ,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Safoora","family":"Anjum","sequence":"additional","affiliation":[{"name":"University of Lahore , 1 km Defense Road, Bhoptian Chowk, 54792, Lahore 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