Devasilpa Raju Poosapati D, Lamture Yashwant, Deshpande Swati G, Gattani Rajesh G
Department of General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Cureus. 2022 Oct 1;14(10):e29807. doi: 10.7759/cureus.29807. eCollection 2022 Oct.
A postmenopausal woman presented with a predominantly right-sided abdominal lump, insidious in onset and not associated with any aggravating or relieving factors. Physical examination revealed a soft cystic mass extending from the right hypochondrium to the right iliac fossa region crossing the midline. Ultrasonography of the abdomen and pelvis showed a large cystic anechoic area noted in the abdomen extending from the epigastric region to the pelvis. Contrast-enhanced CT of the abdomen and pelvis showed a large non-enhancing cystic lesion in the pelvis suggesting the possibility of a right ovarian cyst or mesenteric cyst. Laparotomy was performed and the excised specimen was sent for histopathological analysis, which confirmed it to be an endometrial cyst.
一位绝经后女性出现以右侧为主的腹部肿块，起病隐匿，与任何加重或缓解因素无关。体格检查发现一个柔软的囊性肿块，从右季肋部延伸至右髂窝区域，越过中线。腹部和盆腔超声显示腹部有一个大的囊性无回声区，从胃脘部延伸至盆腔。腹部和盆腔增强CT显示盆腔有一个大的无强化囊性病变，提示可能为右卵巢囊肿或肠系膜囊肿。进行了剖腹手术，切除的标本送去做组织病理学分析，结果证实为子宫内膜囊肿。
