General Hospital of Ierapetra, Ierapetra, Greece.
Laiko General Hospital, Athens, Greece.
Folia Med (Plovdiv). 2021 Jun 30;63(3):438-442. doi: 10.3897/folmed.63.e55388.
Mature cystic teratomas (MCT) of the ovary or dermoid cysts are commonly encountered benign ovarian lesions accounting for approximately 70% of benign tumors and originating from germ cells. A rare case of peritonitis in a 17-year-old female patient caused by traumatic rupture of an MCT of the right ovary is herein presented. A meticulous search of the literature has also been performed. Due to deterioration of patient's clinical condition, she was urgently led to surgery and intraoperative investigation of the peritoneal cavity revealed an inflamed ruptured ovarian cyst along with extensive peritoneal adhesions and purulent peritoneal fluid. A cyst resec-tion was performed with preservation of the ovary followed by adhesiolysis and meticulous abdominal washing and the patient had an uneventful recovery. Despite its rarity, traumatic rupture of ovarian cyst should be considered at evaluation of trauma patients with special attention to cases with a discovered or known presence of ovarian cyst.
成熟囊性畸胎瘤（MCT）或皮样囊肿是常见的良性卵巢病变，占良性肿瘤的约 70%，来源于生殖细胞。本文报道了一例罕见的 17 岁女性患者因右侧卵巢 MCT 外伤性破裂引起的腹膜炎。还对文献进行了细致的检索。由于患者临床状况恶化，紧急进行了手术，术中探查发现炎症性破裂的卵巢囊肿，伴有广泛的腹膜粘连和脓性腹腔积液。进行了囊肿切除术，保留了卵巢，然后进行粘连松解术和仔细的腹腔冲洗，患者恢复顺利。尽管罕见，但在评估创伤患者时应考虑卵巢囊肿破裂，特别是对于发现或已知存在卵巢囊肿的病例。
