Ekanem Victor J, Umukoro Duncan O, Igberase Gabriel
Department of Pathology, School of Medicine, College of Medical Sciences, University of Benin, Benin City, Edo State, Nigeria.
Afr J Reprod Health. 2011 Mar;15(1):117-20.
Teratoma is the most common ovarian tumour associated with pregnancy. The complications in pregnancy include torsion, rupture and malignant transformation mimicking ovarian carcinoma. Its association with intestinal obstruction is uncommon.
A 35 year old gravida 5 para 4 woman with 18 week gestation was referred to our hospital with a 2 week history of abdominal pain, abdominal distension and vomiting. Initial physical examination and ultrasound scan showed bilateral ovarian masses and intrauterine singleton viable pregnancy. At surgery the right mass was observed to be adherent to a part of the small intestine. The masses were excised and confirmed grossly and histologically as benign cystic teratoma. She was well and discharged nine days post operatively. The pregnancy was managed conservatively and she was delivered of a normal male baby at term by spontaneous vertex delivery. Although intestinal obstruction due to benign cystic teratoma in pregnancy is uncommon, abrupt surgical intervention and conservative management is important for favourable outcome.
畸胎瘤是与妊娠相关的最常见卵巢肿瘤。妊娠并发症包括扭转、破裂以及类似卵巢癌的恶性转化。其与肠梗阻的关联并不常见。
一名35岁、孕5产4、妊娠18周的女性因腹痛、腹胀及呕吐2周被转诊至我院。初次体格检查及超声扫描显示双侧卵巢肿物及宫内单活胎妊娠。手术中观察到右侧肿物与一小段小肠粘连。肿物被切除，大体及组织学检查证实为良性囊性畸胎瘤。术后九天她情况良好并出院。妊娠采取保守管理，足月时她经自然头位分娩产下一正常男婴。尽管妊娠期间因良性囊性畸胎瘤导致肠梗阻并不常见，但果断的手术干预及保守管理对于取得良好结局很重要。
