Zganjer M, Cizmic A, Stepan J, Butkovic D, Zupancic B, Bartolek F
Children's Hospital Zagreb, Zagreb, Croatia.
Bratisl Lek Listy. 2006;107(6-7):253-5.
Ovarian dysgerminoma cases are very rarely presented together with acute abdomen. The purpose of this study is to present dysgerminoma ovarii with abdominal pain in lower right abdominal part after abdominal trauma as an abdominal emergency.
Our 12-year old female patient was admitted to our hospital after traffic accident with abdominal trauma. On physical examination the abdomen was acute and the mass in lower abdomen was palpated. Ultrasound and CT examinations showed the presence of large, multilobulated and predominantly solid pelvic mass. Fluid was found in the lower part of pelvis. Immediate exploratory laparotomy was performed. It exposed a superficial actively bleeding tumour vessel. We stopped the bleeding and did a biopsy of the tumour because it was too big for surgical treatment.
Ovarian dysgerminoma should be part of the differential diagnosis in female children with acute surgical abdomen when a solid mass is detected by ultrasonographic scan (Fig. 4, Ref. 11).
卵巢无性细胞瘤病例极少与急腹症同时出现。本研究的目的是将腹部创伤后右下腹部疼痛的卵巢无性细胞瘤作为腹部急症进行呈现。
我们12岁的女性患者在发生交通事故并伴有腹部创伤后被送入我院。体格检查时腹部呈急症状态，在下腹部可触及肿块。超声和CT检查显示存在一个大的、多叶状且主要为实性的盆腔肿块。在盆腔下部发现有积液。立即进行了剖腹探查术。术中发现一处浅表的活动性出血肿瘤血管。我们止住了出血并对肿瘤进行了活检，因为其体积太大无法进行手术治疗。
当超声扫描检测到实性肿块时，卵巢无性细胞瘤应作为女童急性外科性腹痛鉴别诊断的一部分（图4，参考文献11）。
