Rhymes J M, Gorman T, Sasso R A
Clin Exp Obstet Gynecol. 2015;42(6):812-3.
Intratubal teratoma is a very rare condition. The authors believe to present the first case of a completely intratubal mature cystic teratoma with a contralateral intraovarian teratoma. Preoperative ultrasound examination allowed the intraoperative diagnosis of this rare condition, hence allowing appropriate surgical management.
A 19-year-old woman presented with a history of pelvic pain and severe dysmenorrhea. Ultrasound examination initially suggested bilateral ovarian dermoids. Upon laparoscopy, the distal left fallopian tube was obstructed and contained an inflammatory mass adhered to the rectosigmoid. The left ovary was entirely normal. A contralateral intraovarian dermoid was also identified.
Although rare, when an intratubal mass is identified, consideration of intratubal dermoid should be given. Preoperative ultrasound can be of critical importance to the intraoperative diagnosis.
输卵管内畸胎瘤是一种非常罕见的病症。作者认为本文呈现了首例完全位于输卵管内的成熟囊性畸胎瘤合并对侧卵巢内畸胎瘤的病例。术前超声检查有助于术中诊断这种罕见病症,从而实现恰当的手术管理。
一名19岁女性,有盆腔疼痛和严重痛经病史。超声检查最初提示双侧卵巢皮样囊肿。腹腔镜检查时,左侧输卵管远端梗阻,管内有一炎性肿块与直肠乙状结肠粘连。左侧卵巢完全正常。同时还发现了对侧卵巢内的皮样囊肿。
尽管罕见,但当发现输卵管内肿块时,应考虑输卵管内皮样囊肿。术前超声对术中诊断至关重要。