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2 天新生儿卵巢和输卵管无症状自动截肢:病例报告。

Asymptomatic autoamputation of ovary and fallopian tube in a 2 days newborn: a case report.

机构信息

2 Paediatric Surgery Department, Aristotle University of Thessaloniki, "Papageorgiou" General Hospital, Thessaloniki, Greece.

Department of Pathology, "Papageorgiou" General Hospital, Thessaloniki, Greece.

出版信息

Pan Afr Med J. 2021 Aug 27;39:278. doi: 10.11604/pamj.2021.39.278.30553. eCollection 2021.

Abstract

Automatic amputation of the ovary represents a rather uncommon condition. Especially asymptomatic autoamputation is an even more unusual laparoscopic finding. We hereby present a case of a 2-days´-old infant with a prenatal ultrasound (US) diagnosis of a cystic mass, laparoscopically proved as an amputated right adnexa. The female infant was asymptomatic and had normal laboratory exams, including hormone levels, according to her age. The infant was managed surgically, as the size of the cystic lesion, both prenatally and postnatally was indicative of surgical intervention. Careful monitoring is critical for the management of cystic lesions diagnosed prenatally. Although rare, the suspicion of an auto-amputated ovary has to be risen during diagnostic approach of infants with adnexal cysts, especially when these lesions are supposed to "wander" during imaging examinations, and also taking into account the size of the lesion in order for a final approach and management to be established.

摘要

卵巢自动切除是一种相当罕见的情况。特别是无症状的自动切除更是腹腔镜检查中更为罕见的发现。我们在此介绍一例 2 天龄婴儿,产前超声(US)诊断为囊性肿块,腹腔镜证实为右侧附件切除。女婴无症状,实验室检查正常,包括激素水平,与其年龄相符。根据囊性病变的大小,婴儿需要手术治疗,这在产前和产后都是手术干预的指征。对于产前诊断的囊性病变,仔细监测是管理的关键。尽管罕见,但在对有附件囊肿的婴儿进行诊断时,必须怀疑是否存在自动切除的卵巢,特别是当这些病变在影像学检查中“游走”时,以及考虑病变的大小,以便确定最终的处理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e5a/8556747/8bae0221079f/PAMJ-39-278-g001.jpg

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