Department of Obstetrics and Gynecology, Paracelsus Medical University, Salzburg, Austria.
Department of Obstetrics and Gynecology, Paracelsus Medical University, Salzburg, Austria.
J Minim Invasive Gynecol. 2014 Sep-Oct;21(5):959-62. doi: 10.1016/j.jmig.2014.03.001. Epub 2014 Mar 12.
This is a pictorial report of rare sequelae after an unintended intraoperative rupture of a cystic teratoma. A 30-year-old woman was operated on for a mature cystic teratoma of the right ovary with an unintended intraoperative rupture of the ovarian tumor during the procedure. Postoperatively, the final immune histologic report showed partial neuroendocrine differentiation of an immature origin. At relaparoscopy for staging 7 weeks later, several suspicious peritoneal lesions of up to a 2.5-cm diameter were discovered and excised for which malignancy could not be excluded macroscopically. However, the final histologic report revealed a foreign body reaction related to spilling of the content of the mature teratoma. It is important to distinguish local peritoneal reaction from chemical peritonitis. The postoperative follow-up regarding symptomatic recurrence was uneventful.
这是一例意外术中破裂的囊性畸胎瘤罕见后遗症的图片报告。一名 30 岁女性因右侧卵巢成熟囊性畸胎瘤接受手术，术中意外破裂卵巢肿瘤。术后最终免疫组织学报告显示部分神经内分泌分化来自不成熟来源。7 周后行腹腔镜分期时，发现几个直径达 2.5 厘米的可疑腹膜病变，并切除，大体上不能排除恶性肿瘤。然而，最终的组织学报告显示为成熟畸胎瘤内容物溢出引起的异物反应。重要的是要区分局部腹膜反应与化学性腹膜炎。术后随访无症状复发。
