Tanaka Yaku, Hori Hiromasa, Gorai Itsuo
Department of Obstetrics and Gynecology, Hori Hospital, Yokohama City, Kanagawa Prefecture, Japan.
J Matern Fetal Neonatal Med. 2011 Feb;24(2):388-90. doi: 10.3109/14767058.2010.482626. Epub 2010 May 12.
A 37-year-old postpartum woman was presented with abdominal pain supposed to be caused by uterine involution or puerperal endometritis after vaginal delivery. During the pregnancy, she was suspected to have a subserosal myoma by ultrasound examination. The pain was finally revealed to be originated from the chemical peritonitis caused by the rupture of the mature cystic teratoma of the ovary by Kristeller's maneuver performed during vaginal delivery. When a pregnant or puerperal woman complains about abdominal pain, we need to consider the possibility of chemical peritonitis resulting from the rupture of mature cystic teratoma of the ovary.
一名37岁的产后女性因阴道分娩后出现腹痛前来就诊，腹痛被认为是由子宫复旧或产褥期子宫内膜炎引起的。孕期超声检查怀疑她有浆膜下肌瘤。最终发现疼痛源于阴道分娩时施行克里斯特勒手法导致卵巢成熟囊性畸胎瘤破裂引起的化学性腹膜炎。当怀孕或产后女性主诉腹痛时，我们需要考虑卵巢成熟囊性畸胎瘤破裂导致化学性腹膜炎的可能性。
