扭转性卵巢肿瘤导致进行性血胸：多孔膈肌综合征一例报告
Twisted ovarian tumor causing progressive hemothorax: a case report of porous diaphragm syndrome.
作者信息
Saito F, Tashiro H, Honda R, Ohtake H, Katabuchi H
机构信息
Department of Gynecology, Faculty of Medical and Pharmaceutical Sciences, Kumamoto University, Kumamoto, Japan.
出版信息
Gynecol Obstet Invest. 2008;66(2):134-7. doi: 10.1159/000131064. Epub 2008 May 9.
BACKGROUND
Porous diaphragm syndrome is caused by a defect in the diaphragm. The defect may induce pleural effusion in a patient with an ovarian tumor.
CASE REPORT
A 59-year-old Japanese woman with an ovarian tumor and right hemothorax underwent thoracotomy and presented with a fenestra in the right diaphragm through which bloody fluids were flowing from the peritoneal cavity into the pleural space. Following suturing of the fenestra, laparotomy revealed intraabdominal bleeding due to torsion of an ovarian tumor.
CONCLUSION
This is the first report in which the diaphragmatic defect was identified in a patient with an ovarian tumor and hemothorax. Porous diaphragm syndrome may be involved in the pathophysiology of right pleural effusion observed in other medical conditions such as Meigs' syndrome, ovarian hyperstimulated syndrome, and ovarian cancer.
背景
多孔隔膜综合征由膈肌缺损引起。该缺损可能导致卵巢肿瘤患者出现胸腔积液。
病例报告
一名59岁患有卵巢肿瘤和右侧血胸的日本女性接受了开胸手术，术中发现右侧膈肌有一缺损，血性液体通过该缺损从腹腔流入胸腔。缝合该缺损后，剖腹手术发现卵巢肿瘤扭转导致腹腔内出血。
结论
这是首次在患有卵巢肿瘤和血胸的患者中发现膈肌缺损的报告。多孔隔膜综合征可能参与了在其他病症如梅格斯综合征、卵巢过度刺激综合征和卵巢癌中观察到的右侧胸腔积液的病理生理过程。
Zotero 插件