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产后早期成熟性囊性畸胎瘤导致的卵巢扭转:一例罕见病例报告

Ovarian Torsion Due to Mature Cystic Teratoma During the Early Postpartum Period: A Rare Case Report.

作者信息

Adam Osman Ahmed, Tahtabasi Mehmet, Gedi Ibrahim Ismail, Issak Hussein Ahmed, Mohamud Abdullahi Ismail

机构信息

Department of Radiology, University of Health Sciences, Somalia Turkey Recep Tayyip Erdogan Education and Research Hospital, Mogadishu, Somalia.

Department of Obstetrics and Gynecology, University of Health Sciences, Somalia Turkey Recep Tayyip Erdogan Education and Research Hospital, Mogadishu, Somalia.

出版信息

Int Med Case Rep J. 2021 May 20;14:333-338. doi: 10.2147/IMCRJ.S310071. eCollection 2021.

Abstract

Mature cystic teratoma (MCT) is a benign and unilateral ovarian neoplasm usually seen in premenopausal women. Its most common complication, torsion, is a well-known cause of acute abdominal pain. However, it is rare in the early postpartum period. In this paper, we present a case of ovarian torsion due to MCT, which was diagnosed radiologically in the early postnatal period and surgically confirmed. A 25-year-old woman vaginally delivered a healthy baby on time and without any problems. She presented with acute abdominal pain in the right lower quadrant on the postpartum 5th day. Abdominal ultrasound (US) and computed tomography (CT) demonstrated an ovarian mass containing fat and calcification in the right adnexa and non-enhancing ovarian parenchyma. The patient was discharged on the 5th day after the salpingo-oophorectomy operation without any complications. US and CT provided crucial information to make an accurate and rapid management decision in ovarian torsion due to MCT.

摘要

成熟囊性畸胎瘤(MCT)是一种良性的单侧卵巢肿瘤,常见于绝经前女性。其最常见的并发症——扭转,是急性腹痛的一个众所周知的原因。然而,在产后早期却很罕见。在本文中,我们报告了一例因MCT导致的卵巢扭转病例,该病例在产后早期通过影像学诊断,并经手术证实。一名25岁女性顺产一名健康婴儿,过程顺利。产后第5天,她出现右下腹急性腹痛。腹部超声(US)和计算机断层扫描(CT)显示右侧附件有一个包含脂肪和钙化的卵巢肿块,卵巢实质无强化。患者在输卵管卵巢切除术后第5天出院,无任何并发症。US和CT为准确、快速处理因MCT导致的卵巢扭转提供了关键信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53a6/8146748/567e82f7bf10/IMCRJ-14-333-g0001.jpg

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