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A Rare Case of Ovarian Dysgerminoma with Torsion in Pregnancy

Year: 2026

Type: article

Abstract: Early identification of the clinical and imaging characteristics of ovarian dysgerminoma is crucial for prompt care of this rare malignant germ cell tumour, which primarily affects young women and adolescents. We describe the case of a young woman who experienced sporadic lower stomach discomfort and secondary amenorrhoea for three months. A large, multilobulated, solidcystic mass originating from the right adnexal region with prominent internal septations and moderate post-contrast enhancement was seen on Contrast-Enhanced Magnetic Resonance Imaging (CE-MRI) of the pelvis following clinical evaluation and initial laboratory investigations. However, there was no evidence of ascites or metastatic spread. With dysgerminoma as the primary differential, these imaging features clearly supported a malignant germ cell tumour. Histopathology verified the diagnosis of ovarian dysgerminoma after the patient had surgical exploration and lump excision. Although ovarian tumours in pregnancy are uncommon, dysgerminoma in pregnancy is extremely rare, emphasising the importance of maintaining a high level of suspicion in reproductiveage women presenting with adnexal masses.

Source: JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH

DOI: 10.7860/jcdr/2026/81640.22752

Authors: Komal Rathod, Pratap Singh Parihar, Bharadwaj Saraswathula, Saburi Singhania, Yogita Rathod

Language: English

Topic: Ovarian cancer diagnosis and treatment

Subfield: Reproductive Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $275

OpenAlex ID: W7128441639

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