巨大黏液性囊腺瘤：一例报告
Giant mucinous cystadenoma: a case report.
作者信息
Gwanzura Chipo, Muyotcha Annie Fungai, Magwali Thulani, Chirenje Zvavahera Mike, Madziyire Mugove Gerald
机构信息
Department of Obstetrics and Gynecology, College of Health Sciences, University of Zimbabwe, P.O. Box A178, Avondale, Harare, Zimbabwe.
出版信息
J Med Case Rep. 2019 Jun 14;13(1):181. doi: 10.1186/s13256-019-2102-z.
INTRODUCTION
Giant ovarian cysts are rarely described in the literature, owing to the availability of advanced imaging technologies in developed countries leading to early treatment. In resource-limited settings, various factors lead to late presentation.
CASE PRESENTATION
We present a case of a 48-year-old black African woman with a giant mucinous cystadenoma who presented to a tertiary hospital with massive abdominal distention 5 years after being referred from a district hospital for the same problem. Surgical management resulted in fatal complications.
CONCLUSIONS
The surgical management of these huge tumors is associated with many life-threatening complications. Transvaginal ultrasound should be used in resource-limited settings to delineate ovarian masses. Community health workers must be involved in scouting and follow up of community members with unusual abdominal swellings in developing countries to avoid delays in care.
引言
由于发达国家先进成像技术的普及使得卵巢囊肿能早期得到治疗，因此巨大卵巢囊肿在文献中鲜有描述。在资源有限的地区，多种因素导致患者就诊延迟。
病例报告
我们报告一例48岁的非洲黑人女性，患有巨大黏液性囊腺瘤，因同一问题从地区医院转诊5年后，因腹部极度膨隆就诊于一家三级医院。手术治疗导致了致命并发症。
结论
这些巨大肿瘤的手术治疗会引发许多危及生命的并发症。在资源有限的地区应使用经阴道超声来确定卵巢肿块。在发展中国家，社区卫生工作者必须参与对腹部异常肿胀的社区成员进行排查和随访，以避免治疗延误。
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