Lee Jyh-Hong, Tang Jen-Ruey, Wu Mu-Zon, Ni Yen-Hsuan, Hsu Wen-Ming
Department of Pediatrics, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan.
Acta Paediatr Taiwan. 2003 Sep-Oct;44(5):310-2.
A case of ovarian serous cystadenoma with torsion presenting as a wandering abdominal mass is reported. A full-term baby girl was noted to have a left pelvic cyst by prenatal ultrasound at the 34th gestational week. After delivery, a series of work-ups, including ultrasonography and CT scan, revealed a cyst with fluid-debris level in the right pelvis. An ovarian cyst with torsion was suspected and surgical intervention was done when she was 7 days old. The operative findings confirmed a left ovarian cystic mass with torsion. A left salpingo-oophorectomy was performed smoothly. Pathology revealed the typical microscopic findings of ovarian serous cystadenoma, a benign epithelial tumor of ovary. We suggest that a wandering ovarian cystic mass in female fetus and newborn should be considered an indication for surgical intervention due to its high risk of torsion.
报告了一例以游走性腹部肿块为表现的卵巢浆液性囊腺瘤伴扭转病例。一名足月女婴在孕34周时经产前超声检查发现左盆腔有一个囊肿。分娩后，一系列检查，包括超声检查和CT扫描，显示右盆腔有一个有液性碎屑平面的囊肿。怀疑为卵巢囊肿伴扭转，在她7天大时进行了手术干预。手术结果证实为左卵巢囊性肿块伴扭转。顺利实施了左侧输卵管卵巢切除术。病理显示为卵巢浆液性囊腺瘤的典型微观表现，这是一种卵巢良性上皮性肿瘤。我们建议，由于女性胎儿和新生儿中游走性卵巢囊性肿块有较高的扭转风险，应将其视为手术干预的指征。
