Moon Ashley S, DeAngelis Anthony M, Fairbairn Melissa, Kulikowski Karl, Goldenberg David, Chuang Linus, Andikyan Vaagn
Danbury Hospital, Nuvance Health, Danbury, CT, USA.
Reproductive Biology and Medicine Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, USA.
SAGE Open Med Case Rep. 2020 Apr 27;8:2050313X20906738. doi: 10.1177/2050313X20906738. eCollection 2020.
Ovarian masses larger than 100 pounds are rarely encountered in developed countries given advancements in early diagnosis and treatment. Their successful resections pose unique surgical and anesthetic challenges. An otherwise healthy 38-year-old para 1 woman developed a 50 × 60 cm pelvic mass. An exploratory laparotomy, left salpingo-oophorectomy and anterior abdominal wall reconstruction were performed. A total of 60 L of cystic fluid were drained. Close monitoring of hemodynamics and massive volume resuscitation required intensive care. Inpatient physical rehabilitation reinstated independent mobility. Final pathology revealed benign ovarian mucinous cystadenoma. A multidisciplinary approach in the preoperative, intraoperative and postoperative stages of management optimizes patient outcomes.
鉴于早期诊断和治疗的进展，在发达国家很少遇到超过100磅的卵巢肿块。其成功切除带来了独特的手术和麻醉挑战。一名38岁、孕1产1的健康女性出现了一个50×60厘米的盆腔肿块。进行了剖腹探查、左侧输卵管卵巢切除术和前腹壁重建术。共引出60升囊液。对血流动力学的密切监测和大量液体复苏需要重症监护。住院期间的身体康复恢复了独立活动能力。最终病理显示为良性卵巢黏液性囊腺瘤。在术前、术中和术后管理阶段采用多学科方法可优化患者预后。
