Department of Obstetrics and Gynecology, Kyung Hee Medical Center, College of Medicine, Kyung Hee University, Seoul, Republic of Korea.
Department of Pathology, Kyung Hee Medical Center, College of Medicine, Kyung Hee University, Seoul, Republic of Korea.
J Obstet Gynaecol Res. 2022 Jan;48(1):244-250. doi: 10.1111/jog.15085. Epub 2021 Nov 2.
A 35-year-old woman presented with abdominal discomfort at 26 weeks gestation. The magnetic resonance imaging demonstrated a huge unilocular cystic mass with mural nodules originated from body and tail of pancreas. There was also a cystic mass in the left ovary with suppressed intensity on fat saturated image. One week later, she complained of worsening left lower abdominal pain and dyspnea as a new symptom. Hence, distal pancreatectomy with splenectomy and left ovarian cystectomy were performed. The huge cystic mass of pancreas was compressing the diaphragm, and left tubo-ovarian torsion was observed. This is the second case wherein an MCN of the pancreas with mature cystic teratoma of the ovary caused different symptoms. The management of MCNs in pregnant women should consider multiple aspects such as the malignancy potential of imaging findings, severity of symptoms, and fetal well-being.
一位 35 岁女性在妊娠 26 周时出现腹部不适。磁共振成像显示，一个巨大的单房囊性肿块，起源于胰腺体尾部，壁上有结节。左卵巢也有一个囊性肿块，在脂肪饱和图像上呈低信号。一周后，她主诉新出现左下腹疼痛加重和呼吸困难。因此，进行了远端胰腺切除术、脾切除术和左卵巢囊肿切除术。巨大的胰腺囊性肿块压迫膈肌，观察到左侧输卵管-卵巢扭转。这是第二例胰腺的 MCN 合并卵巢成熟囊性畸胎瘤引起不同症状的病例。孕妇 MCN 的处理应考虑多个方面，如影像学表现的恶性潜能、症状严重程度和胎儿健康状况。
