输卵管卵巢脓肿：脐尿管恶性肿瘤的潜在模仿者。

Tubo-ovarian abscess: A potential mimicker of urachal malignancy.

作者信息

Singh Sajya M, Liu James L, Sedaghat Farzad, Wethington Stephanie L, Atallah Chady, Kates Max

机构信息

The James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

出版信息

Urol Case Rep. 2022 Aug 18;45:102191. doi: 10.1016/j.eucr.2022.102191. eCollection 2022 Nov.

DOI:10.1016/j.eucr.2022.102191

PMID:36033164

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9413949/

Abstract

Urachal cancer is a rare but aggressive malignancy. A urachal mass concerning for adenocarcinoma was identified in a 32-year-old G2P1 female on 12-week ultrasound and confirmed on pelvic MRI. Due to progressive growth of the mass and refractory abdominal pain, a multi-disciplinary meeting was held, after which the patient chose to undergo an exploratory laparotomy. A tubo-ovarian abscess was identified involving the intestine, right ovary, fallopian tube, and communicating with a patent, necrotic urachus. This is the first reported case of a tubo-ovarian abscess masquerading as a urachal malignancy, which can present similarly with abdominal pain and irritative urinary symptoms.

摘要

脐尿管癌是一种罕见但侵袭性强的恶性肿瘤。一名32岁、孕2产1的女性在孕12周超声检查时发现一个可疑腺癌的脐尿管肿物，盆腔磁共振成像（MRI）予以证实。由于肿物进行性生长且腹痛难治，遂召开了多学科会诊会议，之后患者选择接受剖腹探查术。术中发现一个输卵管卵巢脓肿，累及肠道、右侧卵巢、输卵管，并与一个通畅的坏死脐尿管相通。这是首例报告的伪装成脐尿管恶性肿瘤的输卵管卵巢脓肿病例，其临床表现可能与腹痛和刺激性尿路症状相似。