良性囊性卵巢畸胎瘤伴瘘管入小肠和大肠。
Benign cystic ovarian teratoma with a fistula into the small and large bowel.
机构信息
From the Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, California.
出版信息
Obstet Gynecol. 2012 Feb;119(2 Pt 2):434-436. doi: 10.1097/AOG.0b013e3182319185.
BACKGROUND
Ovarian dermoid cysts are one of the most common benign neoplasms in women. Rarely, serious complications occur that result in life-threatening events such as bowel perforation. This case summarizes one of these complications from clinical presentation to diagnosis and treatment.
CASE
A 25-year-old woman with symptoms of small bowel obstruction was found to have a 10-cm dermoid cyst perforating into both her small and large bowel. A primary large bowel repair and small bowel resection with en bloc left salpingo-oophorectomy and small bowel side-to-side reanastomosis was performed.
CONCLUSION
This case illustrates the rare formation of a fistula between a dermoid cyst and the small and large bowel. Awareness of the clinical and radiologic findings in these cases is important to avoid further complications.
背景
卵巢皮样囊肿是女性最常见的良性肿瘤之一。罕见情况下，会出现严重并发症，导致危及生命的事件，如肠穿孔。本病例总结了其中一种并发症，从临床表现到诊断和治疗。
病例
一名 25 岁女性出现小肠梗阻症状，发现有一个 10 厘米的皮样囊肿穿孔进入小肠和大肠。进行了原发性大肠修复和小肠切除术，同时行左侧输卵管卵巢切除术和小肠侧侧吻合术。
结论
本病例说明了皮样囊肿与小肠和大肠之间罕见的瘘管形成。了解这些病例的临床和影像学表现非常重要，以避免进一步的并发症。
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