Department of Surgery, Prince of Wales Hospital, 30-32 Ngan Shing Street, Shatin, Hong Kong, China.
World J Gastroenterol. 2011 Aug 21;17(31):3659-62. doi: 10.3748/wjg.v17.i31.3659.
We report an extremely rare case of gas-filled abdominal mass caused by an ovarian teratoma fistulating to the sigmoid colon. The patient was an 85-year-old female, who presented with severe abdominal distension. Urgent computed tomography scan showed a huge abdominal mass with air fluid level and fecal matter inside. Communication between the mass and the sigmoid colon was suspected. She underwent emergency laparotomy. The mass was resected with the involved segment of colon. Pathology confirmed squamous cell carcinoma arising from mature cystic teratoma of the ovary.
我们报告了一例极其罕见的由卵巢畸胎瘤瘘至乙状结肠引起的充气性腹部肿块病例。患者为 85 岁女性,表现为严重腹胀。紧急 CT 扫描显示巨大的腹部肿块,内有气液平面和粪便。怀疑肿块与乙状结肠相通。患者接受了紧急剖腹手术。肿块连同受累肠段一并切除。病理证实为来自卵巢成熟囊性畸胎瘤的鳞状细胞癌。