Candela Giancarlo, Di Libero Lorenzo, Varriale Sergio, Manetta Fiorenza, Napolitano Salvatore, Scetta Giovanni, Esposito Daniela, Sciascia Valerio, Santini Luigi
VII Department of General Surgery, Second University of Naples, Italy.
Ann Ital Chir. 2009 Mar-Apr;80(2):141-4.
The Authors report the case of a 9-year-old girl suffering from acute abdominal pain, combined with mild anaemia (Hb 10.9 g/dL), leukocytosis (24.3 x 10(3) cells/dL), and a large palpable mass in the upper left quadrant. The child underwent an appendectomy 20 days before the admission to our Department. The operation performed in urgency, as well as the removal of a bulky mass situated in the left flank and the right ovary whence it arose, made it clear that abdominal signs and symptoms were caused by the twisting and rupturing of a neoformation, that would hence cause an impressive hemoperitoneum. The histopathologic examination showed a three-germ layer mature mixed teratoma. Clinical, radiologic and biochemical test (alpha-FP, beta-hcG) performed in a postoperative 2 months follow-up revealed no residual disease.
作者报告了一名9岁女孩的病例，她患有急性腹痛，伴有轻度贫血（血红蛋白10.9 g/dL）、白细胞增多（24.3×10³个细胞/dL），左上象限可触及一个大肿块。该患儿在入住我们科室前20天接受了阑尾切除术。急诊手术以及切除位于左腰和右侧卵巢处的一个巨大肿块，明确了腹部体征和症状是由一个新生物扭转和破裂所致，这将导致大量腹腔积血。组织病理学检查显示为一个三层成熟混合性畸胎瘤。术后2个月随访时进行的临床、放射学和生化检查（甲胎蛋白、β-人绒毛膜促性腺激素）未发现残留疾病。
