Medical Student, 21693University of Mississippi Medical Center School of Medicine, Jackson, MS, USA.
Resident Physician, Department of Surgery, 21693University of Mississippi Medical Center, Jackson, MS, USA.
Am Surg. 2022 Sep;88(9):2218-2220. doi: 10.1177/00031348221091962. Epub 2022 Apr 29.
Serous cystadenomas are benign epithelial neoplasms of the ovary, and they typically have an average size of around 10 cm. Our patient is a 68-year-old female who originally presented with abdominal page. Our patient's prior surgical history includes a bilateral salpingo-oophorectomy. Computed tomography scans showed five abdominal and pelvic masses of significant size. Our patient elected to undergo exploratory laparotomy and mass excision, and all five masses were able to be removed successfully. Final pathology confirmed the diagnosis of serous cystadenomas consistent with ovarian origin despite our patient undergoing a previous bilateral salpingo-oophorectomy. Our patient presented with a rare syndrome known as ovarian remnant syndrome that is thought to be caused by difficult hysterectomy procedures and prior abdominal surgeries that can unknowingly leave ovarian remnants. Second, the patient was found to have 5 abdominal and pelvic masses, and most of the masses were a very large size.
浆液性囊腺瘤是卵巢良性上皮性肿瘤,平均大小约为 10cm。患者为 68 岁女性,最初表现为腹部膨隆。患者既往有双侧输卵管卵巢切除术史。计算机断层扫描显示有五个大小明显的腹盆腔肿块。患者选择进行剖腹探查术和肿块切除术,五个肿块均被成功切除。最终病理证实为浆液性囊腺瘤,与卵巢来源一致,尽管患者曾行双侧输卵管卵巢切除术。患者表现出一种罕见的综合征,称为卵巢残余综合征,其被认为是由于子宫切除术困难以及先前的腹部手术可能无意中留下卵巢残余所致。其次,患者发现有 5 个腹盆腔肿块,且大多数肿块非常大。