Case Report
Published: Oct 17, 2025 | DOI: 10.24911/ejmcr.9-2328
Ovarian Teratoma with Bowel Fistula managed non-operatively
Authors:
Thomas Kirengo
, Samra Ali
, Samuel Ghattas
, Mostafa AbdelKarim
, Mohiuddin Kamal
, Sabina Kondokhar
, Joseph Mechery
, Ali Murtada
,
Article Info
Authors
Samra Ali
Department of General Surgery, Ysbyty Glan Clwyd, Rhyl, UK
Samuel Ghattas
Department of General Surgery, Ysbyty Glan Clwyd, Rhyl, UK
Mostafa AbdelKarim
Department of General Surgery, Ysbyty Glan Clwyd, Rhyl, UK
Mohiuddin Kamal
Department of General Surgery, Ysbyty Glan Clwyd, Rhyl, UK
Sabina Kondokhar
Department of Gynaecology, Ysbyty Glan Clwyd, Bodelwyddan, Rhyl, UK
Joseph Mechery
Department of Gynaecology, Ysbyty Glan Clwyd, Bodelwyddan, Rhyl, UK
Ali Murtada
Department of General Surgery, Ysbyty Glan Clwyd, Rhyl, UK
Publication History
Received: August 12, 2025
Accepted: September 30, 2025
Published: October 17, 2025
Abstract
Background: Mature ovarian cystic teratomas (MOCT) are the most common benign ovarian tumours. They are mainly asymptomatic (60%) but can in rare cases (<1%) complicate by forming a fistula into adjacent structures such as the bowel. Patients with fistulating ovarian teratomas are typically managed surgically, most often requiring laparotomy.
Case Presentation: We report a case of an 18-year-old woman who presented with vague abdominal and gynaecological symptoms. She expelled a mass with hair and teeth per rectum which was later confirmed as a MOCT. We managed her conservatively as a collaboration with colorectal and gynaecology teams. At one-year follow-up, she remained asymptomatic with no radiological evidence of a residual fistula.
Conclusion: This case highlights the diagnostic challenges in MOCT with a bowel fistula. We demonstrate that conservative management may be a viable option in select patients.
Keywords: Mature ovarian cystic teratomas (MOCT), Bowel Fistula, Case report, Non-operative treatment
Pubmed Style
Thomas Kirengo, Samra Ali, Samuel Ghattas, Mostafa AbdelKarim, Mohiuddin Kamal, Sabina Kondokhar, Joseph Mechery, Ali Murtada. Ovarian Teratoma with Bowel Fistula managed non-operatively. EJMCR. 2025; 17 (October 2025): -. doi:10.24911/ejmcr.9-2328
Web Style
Thomas Kirengo, Samra Ali, Samuel Ghattas, Mostafa AbdelKarim, Mohiuddin Kamal, Sabina Kondokhar, Joseph Mechery, Ali Murtada. Ovarian Teratoma with Bowel Fistula managed non-operatively. https://ejmcr.com/index.php/articles/2328 [Access: October 18, 2025]. doi:10.24911/ejmcr.9-2328
AMA (American Medical Association) Style
Thomas Kirengo, Samra Ali, Samuel Ghattas, Mostafa AbdelKarim, Mohiuddin Kamal, Sabina Kondokhar, Joseph Mechery, Ali Murtada. Ovarian Teratoma with Bowel Fistula managed non-operatively. EJMCR. 2025; 17 (October 2025): -. doi:10.24911/ejmcr.9-2328
Vancouver/ICMJE Style
Thomas Kirengo, Samra Ali, Samuel Ghattas, Mostafa AbdelKarim, Mohiuddin Kamal, Sabina Kondokhar, Joseph Mechery, Ali Murtada. Ovarian Teratoma with Bowel Fistula managed non-operatively. EJMCR. (2025), [cited October 18, 2025]; 17 (October 2025): -. doi:10.24911/ejmcr.9-2328
Harvard Style
Thomas Kirengo, Samra Ali, Samuel Ghattas, Mostafa AbdelKarim, Mohiuddin Kamal, Sabina Kondokhar, Joseph Mechery, Ali Murtada (2025) Ovarian Teratoma with Bowel Fistula managed non-operatively. EJMCR, 17 (October 2025): -. doi:10.24911/ejmcr.9-2328
Chicago Style
Thomas Kirengo, Samra Ali, Samuel Ghattas, Mostafa AbdelKarim, Mohiuddin Kamal, Sabina Kondokhar, Joseph Mechery, Ali Murtada. "Ovarian Teratoma with Bowel Fistula managed non-operatively." 17 (2025), -. doi:10.24911/ejmcr.9-2328
MLA (The Modern Language Association) Style
Thomas Kirengo, Samra Ali, Samuel Ghattas, Mostafa AbdelKarim, Mohiuddin Kamal, Sabina Kondokhar, Joseph Mechery, Ali Murtada. "Ovarian Teratoma with Bowel Fistula managed non-operatively." 17.October 2025 (2025), -. Print. doi:10.24911/ejmcr.9-2328
APA (American Psychological Association) Style
Thomas Kirengo, Samra Ali, Samuel Ghattas, Mostafa AbdelKarim, Mohiuddin Kamal, Sabina Kondokhar, Joseph Mechery, Ali Murtada (2025) Ovarian Teratoma with Bowel Fistula managed non-operatively. , 17 (October 2025), -. doi:10.24911/ejmcr.9-2328