The Second Clinical Medical College, Lanzhou University, Lanzhou, China.
Department of Tumour Surgery, Lanzhou University Second Hospital, Lanzhou, China.
J Pediatr Adolesc Gynecol. 2021 Feb;34(1):88-91. doi: 10.1016/j.jpag.2020.07.002. Epub 2020 Jul 18.
Ovarian mucinous cystadenomas with situs inversus totalis are infrequent in pubertal girls. Surgical techniques on their treatment without affecting ovary anatomical and physiological function have always been a great challenge.
A 15-year-old girl presented with abdominal distension and pain due to some huge growths. Computed tomography imaging showed that the heart and whole abdomen viscera were inversely located. Two big low-density masses were found in the abdominopelvic cavity. An exploratory laparotomy was performed and 2 tumors were removed. Pathology confirmed a mucinous cystadenoma.
Ovarian mucinous cystadenomas with situs inversus totalis can be detected with detailed physical and radiological examination. For adolescent female patients, particular attention should be paid to protect the reproductive anatomical structure during surgery.
青春期女孩中，完全性 situs inversus totalis 伴发卵巢黏液性囊腺瘤较为罕见。在不影响卵巢解剖和生理功能的情况下对其进行治疗的手术技术一直是一个巨大的挑战。
一名 15 岁女孩因腹部膨隆和疼痛就诊，影像学检查提示心脏和整个腹部内脏器官位置反转。在盆腹腔内发现两个大的低密度肿块。行剖腹探查术并切除 2 个肿瘤。病理证实为黏液性囊腺瘤。
通过详细的体格检查和影像学检查可以发现完全性 situs inversus totalis 伴发卵巢黏液性囊腺瘤。对于青春期女性患者，手术过程中应特别注意保护生殖解剖结构。
