Aquila Isabella, Ricci Pietrantonio, Oliverio Alessandra, Gratteri Santo
Institute of Legale Medicine, University Magna Graecia of Catanzaro, Catanzaro, Catanzaro, Italy.
Institute of Legal Medicine, AO MaterDomini Catanzaro, Catanzaro, Italy.
BMJ Case Rep. 2018 Dec 18;11(1):e226491. doi: 10.1136/bcr-2018-226491.
The ovarian tumour is the seventh female cancer for incidence. In the advanced stages of cancer, tumour cells nourish on the peritoneal serous causing carcinomatosis and peritoneal function abnormalities with liquid build-up inside it. Ascites from peritoneal carcinomatosis is common in patients with ovarian cancer. An obese woman suffering from ovarian cancer was found dead in her home from secondary cardio-respiratory arrest due to Multiple Organ Failure (MOF). An autopsy was performed. The abdominal incision showed an ascitic fluid outflow about 20 litres in volume and a flood about one metre and half. An association between obesity and intraperitoneal fluid volume secondary to peritoneal carcinomatosis has been demonstrated. This finding could improve the prognosis of patients through actions aimed to reduce body weight.
卵巢肿瘤是女性中发病率排名第七的癌症。在癌症晚期，肿瘤细胞以腹膜浆液为养分，导致癌性腹膜炎和腹膜功能异常，并伴有腹腔内积液。卵巢癌患者中，因腹膜癌性腹膜炎导致的腹水很常见。一名患有卵巢癌的肥胖女性在家中因多器官功能衰竭继发心肺骤停死亡。进行了尸检。腹部切口显示有大约20升的腹水流出，积水约一米半深。肥胖与腹膜癌性腹膜炎继发的腹腔内液体量之间的关联已得到证实。这一发现可能通过旨在减轻体重的措施改善患者的预后。
