• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

卵巢穿孔性退化未成熟畸胎瘤：急性腹膜炎的罕见病因、病例报告及文献复习

Perforated degenerated immature teratoma of the ovary: Rare cause of acute peritonitis, case report and review of the literature.

作者信息

Ayoub Madani, Touihar Salma, Ouazni Mohamed, Sanae Abbaoui, Hicham Nassik, Soufi Mehdi

机构信息

Department of General Surgery, Souss Massa University Hospital Centre, Faculty of Medicine and Pharmacy, Agadir, Morocco.

Department of Anesthesia and Reanimation, Souss Massa University Hospital Centre, Faculty of Medicine and Pharmacy, Agadir, Morocco.

出版信息

Int J Surg Case Rep. 2024 Aug;121:110003. doi: 10.1016/j.ijscr.2024.110003. Epub 2024 Jul 4.

DOI:10.1016/j.ijscr.2024.110003
PMID:39024992
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11301325/
Abstract

INTRODUCTION AND IMPORTANCE

Malignant transformation of ovarian teratomas is rare, provoking peritonitis and death are exceedingly rare.

CASE PRESENTATION

We present the case of a 75-year-old woman who was admitted to the emergency department for severe abdominal pain with septic shock due to acute peritonitis caused by perforation of the ovarian mass.

CLINICAL DISCUSSION

Teratomas are germ cell tumors usually composed of multiple cell types derived from one or more of the three germ layers. Pathologically, malignant transformation of ovarian dermoid cysts is rare due to the thickness of the capsule, spontaneous rupture is a very rare complication, acute peritonitis presents with features of acute abdomen or shock, treatment is essentially surgical and includes at least unilateral adnexectomy, complete exploration of the pelvis and abdominal cavity, peritoneal washing and/or sampling of any ascites.

CONCLUSION

In conclusion, although ovarian teratoma with granulomatous peritonitis is rare, rupture leading to generalised acute peritonitis further worsens the prognosis. Which will ensure correct management that will provide a good outcome with less complications.

摘要

引言与重要性

卵巢畸胎瘤恶变罕见，引发腹膜炎及导致死亡极为罕见。

病例介绍

我们报告一例75岁女性病例，因卵巢肿物穿孔导致急性腹膜炎并发感染性休克，因严重腹痛入住急诊科。

临床讨论

畸胎瘤是生殖细胞肿瘤，通常由源自三个胚层中一个或多个的多种细胞类型组成。病理上，卵巢皮样囊肿恶变罕见，因其囊壁较厚，自发破裂是非常罕见的并发症，急性腹膜炎表现为急腹症或休克特征，治疗主要为手术治疗，至少包括单侧附件切除术、对盆腔和腹腔进行全面探查、腹腔冲洗和/或抽取腹水样本。

结论

总之，尽管伴有肉芽肿性腹膜炎的卵巢畸胎瘤罕见，但破裂导致弥漫性急性腹膜炎会进一步恶化预后。这将确保正确的管理，从而获得良好的结果并减少并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3418/11301325/7f03496ba84e/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3418/11301325/f42d68567c00/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3418/11301325/bd376587c546/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3418/11301325/1dd2f95795d9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3418/11301325/37b48d36948a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3418/11301325/2c8e9b26a373/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3418/11301325/7f03496ba84e/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3418/11301325/f42d68567c00/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3418/11301325/bd376587c546/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3418/11301325/1dd2f95795d9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3418/11301325/37b48d36948a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3418/11301325/2c8e9b26a373/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3418/11301325/7f03496ba84e/gr6.jpg

相似文献

1
Perforated degenerated immature teratoma of the ovary: Rare cause of acute peritonitis, case report and review of the literature.卵巢穿孔性退化未成熟畸胎瘤：急性腹膜炎的罕见病因、病例报告及文献复习
Int J Surg Case Rep. 2024 Aug;121:110003. doi: 10.1016/j.ijscr.2024.110003. Epub 2024 Jul 4.
2
Chemical peritonitis resulting from spontaneous rupture of a mature ovarian cystic teratoma: a case report.成熟卵巢囊性畸胎瘤自发破裂导致的化学性腹膜炎：一例报告
Acta Med Litu. 2019;26(4):217-226. doi: 10.6001/actamedica.v26i4.4207.
3
Ovarian dermoid cyst with malignant transformation and rupture of the capsule associated with chemical peritonitis: a case report and literature review.卵巢皮样囊肿伴恶性转化及囊肿破裂并化学性腹膜炎：一例报告及文献复习
Eur J Gynaecol Oncol. 2009;30(2):226-8.
4
Germ cell tumors of the gonads: a selective review emphasizing problems in differential diagnosis, newly appreciated, and controversial issues.性腺生殖细胞肿瘤：一篇选择性综述，重点强调鉴别诊断中的问题、新认识的问题及有争议的问题。
Mod Pathol. 2005 Feb;18 Suppl 2:S61-79. doi: 10.1038/modpathol.3800310.
5
Dermoid Cyst Spillage Resulting in Chemical Peritonitis: A Case Report and Literature Review.皮样囊肿破裂导致化学性腹膜炎：一例报告及文献复习
Cureus. 2022 Sep 14;14(9):e29151. doi: 10.7759/cureus.29151. eCollection 2022 Sep.
6
Acute Diffuse Peritonitis Due to Spontaneous Rupture of an Infected Endometrioma: A Case Report.感染性子宫内膜异位囊肿自发性破裂致急性弥漫性腹膜炎：一例报告
Acta Med Litu. 2021;28(2):360-366. doi: 10.15388/Amed.2021.28.2.20. Epub 2021 Dec 22.
7
Ruptured dermoid cyst of ovary developing into chronic peritonitis; a rare complication diagnosed by contrast CT: A case study.卵巢皮样囊肿破裂并发慢性腹膜炎；一例通过增强CT诊断的罕见并发症：病例报告
Ann Med Surg (Lond). 2022 Sep 15;82:104700. doi: 10.1016/j.amsu.2022.104700. eCollection 2022 Oct.
8
Ovarian teratoma with diffused peritoneal reactions mimicking advanced ovarian malignancy.伴有弥漫性腹膜反应的卵巢畸胎瘤，酷似晚期卵巢恶性肿瘤。
Arch Gynecol Obstet. 2004 Nov;270(3):189-91. doi: 10.1007/s00404-003-0479-8. Epub 2003 Feb 14.
9
Rupture of a mature cystic teratoma in a young girl caused by a car accident: an extremely rare case and review of the literature.年轻女孩因车祸导致成熟囊性畸胎瘤破裂：一例极其罕见的病例并文献复习。
Folia Med (Plovdiv). 2021 Jun 30;63(3):438-442. doi: 10.3897/folmed.63.e55388.
10
An unusual presentation of ovarian dermoid cyst: a case report and review of literature.卵巢皮样囊肿的一种罕见表现：一例病例报告及文献复习
Obstet Gynecol Sci. 2018 Jul;61(4):529-532. doi: 10.5468/ogs.2018.61.4.529. Epub 2018 Jul 4.

引用本文的文献

1
Small Bowel Obstruction Masking a Perforated Dermoid Ovarian Cyst.小肠梗阻掩盖了卵巢皮样囊肿穿孔
Diagnostics (Basel). 2024 Sep 6;14(17):1975. doi: 10.3390/diagnostics14171975.

本文引用的文献

1
Immature Teratoma: Diagnosis and Management-A Review of the Literature.未成熟畸胎瘤：诊断与管理——文献综述
Diagnostics (Basel). 2023 Apr 23;13(9):1516. doi: 10.3390/diagnostics13091516.
2
The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines.SCARE 2023 指南：更新共识外科病例报告（SCARE）指南。
Int J Surg. 2023 May 1;109(5):1136-1140. doi: 10.1097/JS9.0000000000000373.
3
Ruptured dermoid cyst of ovary developing into chronic peritonitis; a rare complication diagnosed by contrast CT: A case study.
卵巢皮样囊肿破裂并发慢性腹膜炎；一例通过增强CT诊断的罕见并发症：病例报告
Ann Med Surg (Lond). 2022 Sep 15;82:104700. doi: 10.1016/j.amsu.2022.104700. eCollection 2022 Oct.
4
Squamous Cell Carcinoma from Abscessed, Mature Cystic Ovarian Teratoma - A Case Report and Literature Review.脓肿性、成熟囊性卵巢畸胎瘤相关鳞状细胞癌：病例报告及文献复习。
In Vivo. 2020 Jul-Aug;34(4):2141-2146. doi: 10.21873/invivo.12020.
5
CT findings in acute peritonitis: a pattern-based approach.急性腹膜炎的CT表现：基于模式的方法
Diagn Interv Radiol. 2015 Nov-Dec;21(6):435-40. doi: 10.5152/dir.2015.15066.
6
Management of giant ovarian teratoma: A case series and review of the literature.巨大卵巢畸胎瘤的管理：病例系列及文献综述
Oncol Lett. 2012 Oct;4(4):672-676. doi: 10.3892/ol.2012.793. Epub 2012 Jul 9.
7
Does prevention of intraperitoneal spillage when removing a dermoid cyst prevent granulomatous peritonitis?在切除皮样囊肿时防止腹腔内渗漏是否能预防肉芽肿性腹膜炎？
BJOG. 2010 Jul;117(8):1027-30. doi: 10.1111/j.1471-0528.2010.02580.x. Epub 2010 May 11.
8
A favorable maternal and neonatal outcome following chemotherapy with etoposide, bleomycin, and cisplatin for management of grade 3 immature teratoma of the ovary.顺铂依托泊苷博来霉素化疗治疗 3 级卵巢未成熟畸胎瘤：母婴结局良好。
J Gynecol Oncol. 2009 Dec;20(4):257-9. doi: 10.3802/jgo.2009.20.4.257. Epub 2009 Dec 28.
9
Ovarian dermoid cyst with malignant transformation and rupture of the capsule associated with chemical peritonitis: a case report and literature review.卵巢皮样囊肿伴恶性转化及囊肿破裂并化学性腹膜炎：一例报告及文献复习
Eur J Gynaecol Oncol. 2009;30(2):226-8.
10
Mature and immature ovarian teratomas: CT, US and MR imaging characteristics.成熟性和不成熟性卵巢畸胎瘤：CT、US 和 MR 成像特征。
Eur J Radiol. 2009 Dec;72(3):454-63. doi: 10.1016/j.ejrad.2008.07.044. Epub 2008 Sep 20.