Frederick J, DaCosta V, Wynter S, Tenant I, McKenzie C, McDonald Y
Department of Obstetrics, Gynaecology and Child Health, University of the West Indies, Kingston 7, Jamaica, West Indies.
West Indian Med J. 2003 Jun;52(2):179-81.
Endometriosis co-existing with bilateral dermoid cysts of the ovaries is a rare occurrence although both benign conditions are said to be common in women in the reproductive age group. We present a case of a young woman with primary infertility associated with incapacitating dysmenorrhoea. Sonographic evaluation revealed bilateral ovarian cysts. Video-assisted laparoscopy was performed which revealed bilateral dermoid cysts and endometriotic deposits in the pelvis. The ovarian cysts were enucleated and the endometriotic deposits were endo-coagulated. The patient was treated with GnRH agonist for three months. There have been only two reports of benign and malignant teratomas co-existing with endometriomas.
子宫内膜异位症与双侧卵巢皮样囊肿并存的情况较为罕见，尽管这两种良性病症在育龄期女性中都较为常见。我们报告一例年轻女性原发性不孕伴严重痛经的病例。超声检查发现双侧卵巢囊肿。进行了电视辅助腹腔镜检查，发现盆腔内有双侧皮样囊肿和子宫内膜异位灶。切除了卵巢囊肿，并对子宫内膜异位灶进行了内膜凝固术。患者接受了三个月的促性腺激素释放激素（GnRH）激动剂治疗。仅有两篇关于良性及恶性畸胎瘤与子宫内膜瘤并存的报道。
