Center for Reproductive Medicine and Sciences, Department of Obstetrics and Gynecology, Taipei Medical University Hospital, Taipei.
Department of Obstetrics and Gynecology, School of Medicine, College of Medicine, Taipei Medical University, Taipei.
J Int Med Res. 2020 Feb;48(2):300060519882197. doi: 10.1177/0300060519882197. Epub 2019 Nov 4.
We present a rare case of a woman with a mass containing soft tissue, fat, and calcified components attached to the fimbrial end of the left fallopian tube. A 38-year-old nulligravida woman who visited our clinic for infertility counseling had mild abdominal discomfort and a palpable mass in the lower abdomen. Multiple examinations were performed. Preoperatively, we considered that the patient had teratoma or teratocarcinoma of the left ovary. On exploratory laparotomy, we found that she had a mass with protuberances and a bulbous projection at one surface that was attached to the fimbrial end of the left fallopian tube. A histopathological examination showed a mature cystic teratoma that arose from the fimbrial end of the fallopian tube. Obstetricians should be aware of this abnormality. Early detection of this abnormality is advantageous for infertility counseling and planning of less invasive surgery in the hospital.
我们报告了一例罕见病例，一名女性的附件区肿块中含有软组织、脂肪和钙化成分。一位 38 岁的原发不孕女性因不孕咨询就诊于我院，她诉下腹轻度不适，可触及下腹包块。行多项检查后，术前我们考虑该患者左侧卵巢为畸胎瘤或未成熟畸胎瘤。行剖腹探查术时，我们发现她的肿块表面有突起和一个球状突起，该肿块附着于左侧输卵管伞端。组织病理学检查显示该肿块来源于输卵管伞端的成熟囊性畸胎瘤。妇产科医生应注意到这种异常。早期发现这种异常有利于在医院进行不孕咨询和计划施行创伤更小的手术。
