We describe the case of a 27 year-old woman presenting with acute abdo
minal pain due to torsion of a right ovarian cyst. Histopathological e
xamination of the excised lesion revealed a mature cystic ovarian tera
toma consisting primarily of a highly organized cerebellar component,
an exceedingly rare finding. The possibility of a malignant neuroepith
elial tumor arising from immature precursor cells within this neural t
issue justifies complete excision of such lesions.