A 25-year-old woman presents with a six-month history of intermittent lower abdominal pain and a feeling of fullness in the pelvis. Her menstrual cycles are regular, and she denies abnormal bleeding, fever, or weight loss. Physical Examination: A non-tender, mobile pelvic mass is palpated in the right lower quadrant. Imaging: Transvaginal ultrasound reveals a 7 cm complex ovarian mass on the right ovary with echogenic components including calcifications, cystic areas, and shadowing suggestive of fat and hair, consistent with a mature cystic teratoma (dermoid cyst). Tumor markers: CA-125, AFP, and beta-hCG are within normal limits. Which of the following is a potential complication of a mature cystic teratoma?
