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[一名附件扭转患者卵巢及输卵管良性畸胎瘤的现患情况]

[Present occurrence of benign teratoma of ovary and fallopian tube in a patient with adnexal torsion].

作者信息

Haslík L, Mára M, Kuzel D, Zizka Z, Dundr P

机构信息

Department of Obsterics and Gynecology, 1st Faculty of Medicine and General Teaching Hospital, Charles University, Prague.

出版信息

Ceska Gynekol. 2006 Jul;71(4):342-4.

Abstract

OBJECTIVE

The authors demonstrate the case of left adnexal torsion caused by 2 benign teratomas in its ovarian and tubal location.

DESIGN

Case report.

SETTING

Department of Obstetrics and Gynecology, 1st Faculty of Medicine and General Teaching Hospital, Charles University, Prague.

CASE

24-years old woman underwent laparoscopy for several days lasting pain in lower abdomen and ultrasound finding of semicystic mass in the left adnexal region with suspicion of teratoma. The benign teratoma of the left ovary together with a torsion of the left Fallopian tube distended by teratoma was revealed during surgery. Left side salpingectomy and enucleation of the ovarian teratoma has been performed. This surprising finding was confirmed by histopathological examination.

CONCLUSION

The acute gynaecological torsion event may be caused not only by torsion of uterine fibroid or enlarged tumorous ovary but rarely also by a teratoma of the Fallopian tube.

摘要

目的

作者展示了由位于卵巢和输卵管的2个良性畸胎瘤引起左侧附件扭转的病例。

设计

病例报告。

地点

布拉格查理大学第一医学院和综合教学医院妇产科。

病例

一名24岁女性因下腹部持续数天的疼痛接受腹腔镜检查,超声检查发现左侧附件区有半囊性肿块,怀疑为畸胎瘤。手术中发现左侧卵巢良性畸胎瘤伴左侧输卵管因畸胎瘤而扭转。已进行左侧输卵管切除术和卵巢畸胎瘤摘除术。这一惊人发现经组织病理学检查得到证实。

结论

急性妇科扭转事件不仅可能由子宫肌瘤扭转或卵巢肿大肿瘤引起,也可能很少由输卵管畸胎瘤引起。

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