Yazawa Hiroyuki, Takiguchi Kaoru, Kato Asami, Imaizumi Karin
Department of Obstetrics and Gynecology, Fukushima Red Cross Hospital, Fukushima, Japan.
Department of Obstetrics and Gynecology, Ohta Nishinouchi Hospital, Koriyama, Japan.
Gynecol Minim Invasive Ther. 2019 Jan-Mar;8(1):40-43. doi: 10.4103/GMIT.GMIT_63_18. Epub 2019 Jan 23.
We describe an extremely rare case of an unusually presented ovarian fibroma adherent to the sigmoid colon originating from an autoamputated ovary. A 64-year-old woman was referred to our hospital with an abnormal shadow that was approximately 4 cm in diameter in the pelvic cavity detected on abdominal X-ray imaging. Computed tomography demonstrated an irregularly shaped tumor with calcification in the pelvic cavity. Laparoscopy revealed that the tumor was adherent to the surface of the sigmoid colon with a discontinuous shell and empty cavity. The left ovary was lacking, although the left salpinx and right adnexa were in their normal locations. The tumor was carefully resected with cutting of the serosa of the sigmoid colon. The serosal defect was repaired with sutures. Postoperative histopathological diagnosis was old fibroma with calcification. To the best of our knowledge, this is the first reported case of extragonadal ovarian tumor originating from an autoamputated ovarian fibroma.
我们描述了一例极为罕见的病例，即起源于自截卵巢并附着于乙状结肠的卵巢纤维瘤，其呈现方式不同寻常。一名64岁女性因腹部X线成像检查发现盆腔内有一个直径约4厘米的异常阴影而转诊至我院。计算机断层扫描显示盆腔内有一个形状不规则且伴有钙化的肿瘤。腹腔镜检查发现该肿瘤附着于乙状结肠表面，有不连续的包膜和空洞。左侧卵巢缺失，而左侧输卵管和右侧附件位置正常。小心切除肿瘤并切开乙状结肠的浆膜。用缝线修复浆膜缺损。术后组织病理学诊断为伴有钙化的陈旧性纤维瘤。据我们所知，这是首例报道的起源于自截卵巢纤维瘤的性腺外卵巢肿瘤病例。
