Deen Raeed, de Silva Asantha, Wijesuriya Ruwan
Department of Biology, Cornell University, Ithaca, NY 14850, USA.
J Med Case Rep. 2013 May 13;7:130. doi: 10.1186/1752-1947-7-130.
Cystic ovarian teratomas comprise 20% of all ovarian neoplasms, and are commonly encountered in patients between 20 and 40 years of age. Although these cysts are usually asymptomatic, we present the case of a patient whose cyst resulted in pruritus and abdominal pain. Based on a MEDLINE search of the literature, we believe this is the first case report of a twisted ovarian cyst presenting with generalized pruritus.
A 35-year-old Sri Lankan woman presented with lower abdominal pain of one day's duration with vomiting and generalized pruritus. She had no history of allergies and was not on medication. Upon a physical examination, our patient was found to have an acute abdomen, localized peritonism in her lower abdomen and tachycardia of 100 beats per minute. Computed tomography showed that the cyst, which contained calcified structures, originated from her left ovary. After laparoscopy-assisted removal of the twisted ovarian cyst, her symptoms resolved completely. Histological examination confirmed a benign ovarian teratoma.
An unusual case of torsion of an ovarian teratoma presenting with abdominal pain and generalized pruritus, believed to be due to an antibody-mediated response, was resolved after surgical removal of the cyst.
卵巢囊性畸胎瘤占所有卵巢肿瘤的20%，常见于20至40岁的患者。虽然这些囊肿通常无症状，但我们报告了一例囊肿导致瘙痒和腹痛的患者。基于对MEDLINE文献的检索，我们认为这是首例以全身瘙痒为表现的扭转卵巢囊肿病例报告。
一名35岁的斯里兰卡女性因持续一天的下腹痛伴呕吐和全身瘙痒就诊。她无过敏史且未服用药物。体格检查发现患者有急腹症，下腹部局限性腹膜炎，心率每分钟100次。计算机断层扫描显示囊肿含有钙化结构，起源于左侧卵巢。在腹腔镜辅助下切除扭转的卵巢囊肿后，她的症状完全缓解。组织学检查证实为良性卵巢畸胎瘤。
一例罕见的卵巢畸胎瘤扭转病例，表现为腹痛和全身瘙痒，据信是由抗体介导的反应引起，手术切除囊肿后症状得以缓解。
