El Moussaoui M, Closon F, Brichant G, Kotzampassakis N, Nisolle M
Faculté de Médecine, Université de Liège.
Service de Gynécologie-Obstétrique, CHR Citadelle, Université de Liège, Belgique.
Rev Med Liege. 2018 Jul;73(7-8):413-418.
Mature ovarian teratoma is the most frequent benign tumor in premenopausal women. It is usually asymptomatic but complications are possible such as adnexal torsion, infection, malignant transformation or cystic rupture. The latter can be spontaneous or more often occurs during surgery of excision of dermoid cyst. It can rarely result in chemical peritonitis, which is due to the irritation of the peritoneal serosa by the aseptic content of the tumour. We report the case of a patient who undrewent an emergency laparotomy for a chemical peritonitis following a spontaneous rupture of a dermoid cyst. Afterwards, she developed an acute respiratory distress syndrome that required an admission in the intensive care unit and subsequent surgery.
成熟卵巢畸胎瘤是绝经前女性最常见的良性肿瘤。它通常无症状，但可能会出现并发症，如附件扭转、感染、恶变或囊肿破裂。囊肿破裂可为自发性，但更常见于皮样囊肿切除手术过程中。它很少会导致化学性腹膜炎，这是由于肿瘤无菌内容物刺激腹膜浆膜所致。我们报告了一例患者，该患者因皮样囊肿自发性破裂后发生化学性腹膜炎而接受了急诊剖腹手术。此后，她出现了急性呼吸窘迫综合征，需要入住重症监护病房并随后接受手术。
