{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T05:22:52Z","timestamp":1769059372642,"version":"3.49.0"},"reference-count":13,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2024,9,6]],"date-time":"2024-09-06T00:00:00Z","timestamp":1725580800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>A 58-year-old female presented with abdominal pain, vomiting and constipation. Laboratory tests indicated elevated white blood cell count and C-reactive protein levels. Imaging via CT scan revealed a large cystic mass in the right ovary, abscesses and generalized small bowel distension, which initially raised suspicion of the existence of ovarian cancer with peritoneal carcinomatosis. Despite conservative management, the patient\u2019s condition did not improve, prompting a laparotomy. Intraoperative findings included generalized peritonitis, significant small bowel dilation due to inflammatory adhesions and a perforated dermoid ovarian cyst. The cyst was resected and a prophylactic ileostomy was installed. Histopathological examination confirmed the diagnosis of a benign dermoid ovarian cyst. This case illustrates the rare presentation of a perforated dermoid cyst mimicking peritoneal carcinomatosis and emphasizes the importance of considering such complications in the differential diagnosis of bowel obstruction and peritoneal disease. Early recognition and appropriate surgical intervention are crucial for optimal outcomes.<\/jats:p>","DOI":"10.3390\/diagnostics14171975","type":"journal-article","created":{"date-parts":[[2024,9,6]],"date-time":"2024-09-06T10:29:45Z","timestamp":1725618585000},"page":"1975","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Small Bowel Obstruction Masking a Perforated Dermoid Ovarian Cyst"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-6027-6378","authenticated-orcid":false,"given":"Ismini","family":"Kountouri","sequence":"first","affiliation":[{"name":"Department of General Surgery, General Hospital of Katerini, 60132 Pieria, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christos","family":"Gkogkos","sequence":"additional","affiliation":[{"name":"Gynecology and Obstetrics Department, General Hospital of Katerini, 60132 Pieria, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8122-0872","authenticated-orcid":false,"given":"Ioannis","family":"Katsarelas","sequence":"additional","affiliation":[{"name":"Department of General Surgery, General Hospital of Katerini, 60132 Pieria, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Periklis","family":"Dimasis","sequence":"additional","affiliation":[{"name":"Department of General Surgery, General Hospital of Katerini, 60132 Pieria, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amyntas","family":"Giotas","sequence":"additional","affiliation":[{"name":"Gynecology and Obstetrics Department, General Hospital of Katerini, 60132 Pieria, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eftychia","family":"Kokkali","sequence":"additional","affiliation":[{"name":"Department of Radiology, General Hospital of Katerini, 60132 Pieria, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miltiadis","family":"Chandolias","sequence":"additional","affiliation":[{"name":"Department of General Surgery, General Hospital of Katerini, 60132 Pieria, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolaos","family":"Gkiatas","sequence":"additional","affiliation":[{"name":"Department of General Surgery, General Hospital of Katerini, 60132 Pieria, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimitra","family":"Manolakaki","sequence":"additional","affiliation":[{"name":"Department of General Surgery, General Hospital of Katerini, 60132 Pieria, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,9,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"283","DOI":"10.5455\/2349-2902.isj20150533","article-title":"Ovariandermoid presenting as acute intestinal obstruction: A rare case report and review of literature","volume":"2","author":"Bhasin","year":"2015","journal-title":"Int. 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Fertil."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1177\/03000605231171023","article-title":"Clinical characteristics and laparoscopic surgical outcomes of ovarian dermoid cysts complicated by spontaneous rupture: Nine cases and a literature review","volume":"51","author":"Takeda","year":"2023","journal-title":"J. Int. Med. Res."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"110003","DOI":"10.1016\/j.ijscr.2024.110003","article-title":"Perforated degenerated immature teratoma of the ovary: Rare cause of acute peritonitis, case report and review of the literature","volume":"121","author":"Ayoub","year":"2024","journal-title":"Int. J. Surg. 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