Chang Yu-Tang, Lin Jan-You
Division of Pediatric Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
J Formos Med Assoc. 2009 Feb;108(2):173-5. doi: 10.1016/S0929-6646(09)60049-8.
A case of general peritonitis caused by sudden perforation of a mature cystic ovarian teratoma is presented. The clinical course consisted of progressive abdominal tenderness after a 1600-m run and 12 subsequent sit-ups. An exploratory laparotomy revealed massive ascites and a 10-cm linear perforation over the dome of the tumor, probably caused by a sharp elevation of intra-abdominal pressure generated during the sit-ups. Neither peritoneal granulomatous reaction nor inflammatory adhesions to adjacent bowel loops were found. A search of the English literature did not reveal any similar case.
本文报告一例成熟性囊性卵巢畸胎瘤突然破裂导致的弥漫性腹膜炎病例。临床过程为在进行1600米跑步及随后12次仰卧起坐后出现进行性腹部压痛。剖腹探查发现大量腹水，肿瘤顶部有一个10厘米的线性穿孔，可能是仰卧起坐时腹内压急剧升高所致。未发现腹膜肉芽肿反应或与相邻肠袢的炎性粘连。检索英文文献未发现任何类似病例。
