Betts Lucas J, Johnson Kalley, Bassette Emma, Slife Cameron, Khandalavala Jimmy
Radiology, Creighton University School of Medicine, Omaha, USA.
Plastic Surgery, Creighton University School of Medicine, Omaha, USA.
Cureus. 2023 Sep 8;15(9):e44913. doi: 10.7759/cureus.44913. eCollection 2023 Sep.
Giant ovarian cysts (>10 cm) are rare due to the widespread use of routine imaging. However, in the absence of compressive symptoms, giant cysts remain a diagnostic challenge, especially in patients with larger body habitus. Complications of benign ovarian cysts are infrequent but can include torsion of the adnexa. Bilateral torsion is a rare emergency that can threaten a patient's future fertility. In this case, we report on a 24-year-old female with bilateral torsion due to a triad of adnexal masses including a 30 cm mucinous cystadenoma, a 10 cm mature teratoma, and an 8 cm paratubal cyst. Controlled fluid aspiration was performed prior to en bloc resection of the cystadenoma due to the emergent nature of the case and lack of malignant features.
由于常规影像学检查的广泛应用，巨大卵巢囊肿（>10 cm）较为罕见。然而，在没有压迫症状的情况下，巨大囊肿仍然是一个诊断难题，尤其是在体型较大的患者中。良性卵巢囊肿的并发症并不常见，但可能包括附件扭转。双侧扭转是一种罕见的急症，可能会威胁患者未来的生育能力。在本病例中，我们报告了一名24岁女性，因三联征附件肿物导致双侧扭转，其中包括一个30 cm的黏液性囊腺瘤、一个10 cm的成熟畸胎瘤和一个8 cm的输卵管旁囊肿。由于该病例的紧急性质且缺乏恶性特征，在整块切除囊腺瘤之前进行了控制性液体抽吸。
