Obata Eri, Kai Kentaro, Aso Saki, Tsukamoto Nao, Hanaoka Takuya, Nabeta Yusuke, Kawano Yasushi
Department of Obstetrics and Gynecology, Faculty of Medicine, Oita University, Oita, Japan.
Advanced Trauma, Emergency and Critical Care Center, Oita University Hospital, Oita, Japan.
SAGE Open Med Case Rep. 2022 Jan 13;10:2050313X211069315. doi: 10.1177/2050313X211069315. eCollection 2022.
Demons syndrome is defined by hydrothorax and ascites associated with a benign genital tumor that resolves after resection of the tumor. However, Demons syndrome with pericardial effusion has never been reported. Intensive care unit-acquired weakness is a neurological sequela to sepsis/systemic inflammatory response syndrome, or multi-organ failure. A 47-year-old, nulligravid, Japanese woman, was transferred to our hospital for refractory heart failure and a ruptured ovarian tumor. She had an 11-cm left ovarian tumor with ascites, hydrothorax, and pericardial effusion; she was intubated for pulmonary hypertension and admitted to the intensive care unit for septic shock. Four days later, a left salpingo-oophorectomy was performed for Demons syndrome with pericardial effusion. The histological diagnosis indicated a serous cystadenoma with fibrotic changes. Following surgery, ventilator weaning was delayed due to intensive care unit-acquired weakness. The association between Demons syndrome and pericardial effusion should be recognized to ensure early treatment and for preventing sequalae from the disease.
德蒙斯综合征的定义是伴有良性生殖系统肿瘤的胸腔积液和腹水，肿瘤切除后症状缓解。然而，伴有心包积液的德蒙斯综合征从未被报道过。重症监护病房获得性肌无力是脓毒症/全身炎症反应综合征或多器官功能衰竭的神经后遗症。一名47岁未孕的日本女性因难治性心力衰竭和卵巢肿瘤破裂被转至我院。她有一个11厘米的左侧卵巢肿瘤，伴有腹水、胸腔积液和心包积液；因肺动脉高压插管，并因感染性休克入住重症监护病房。四天后，因伴有心包积液的德蒙斯综合征行左侧输卵管卵巢切除术。组织学诊断为伴有纤维化改变的浆液性囊腺瘤。术后，由于重症监护病房获得性肌无力，脱机延迟。应认识到德蒙斯综合征与心包积液之间的关联，以确保早期治疗并预防该疾病的后遗症。
