About suppurative-perforative complication of ovarian dermoids with the participation of the urinary bladder

Clinical diagnosis of ovarian dermoids, as a rule, is devoid of supporting points that allow to reliably recognize this group of neoplasms. Some features in the clinical course of ovarian dermoids (location in the vesicouterine space, pronounced mobility) cannot be defined as characteristic features of only these tumors and, therefore, lose their diagnostic value. Only in those relatively rare cases when it is possible to palpate a dense, sometimes hard area in the wall of the cystic ovarian tumor, the diagnosis of dermoid becomes most convincing. But this requires the presence of a number of such favorable conditions as the severity of the bone-cartilaginous tissue in the area of ​​the parenchymal tubercle, the relatively stable position of the tumor with the compacted area facing the abdominal wall, the absence of a combination of dermoids with other cystic tumors, and a sufficient dermoid size. This relatively rare combination of these moments was observed in our clinic only 2 times in 57 cases of ovarian dermoids.