Robotic-assisted surgery for bilateral synchronous ovarian teratoma and cystadenoma: A case report

Reports of different synchronous tumors involving both ovaries are rare, and most fall in the malignant category. This is the case of a 15-year-old female with an unremarkable past medical history who presented with acute onset lower abdominal pain. Imaging studies demonstrated a large complex cystic and solid mass in the midline pelvis. During robotic pelvic mass excision, she was found to have two separate masses, one involving each ovary. The patient underwent successful bilateral ovarian-sparing mass excision. Pathology examination of the specimens revealed mature cystic teratoma of the right ovary and left ovarian serous cystadenoma. We present this case for the uniqueness of the bilateral ovarian pathology as well as to show that robotic-assisted resection of ovarian tumors in certain children is safe and feasible.