Nuwass Emanuel Q, Gemuwang Martini, Samo Hayte M, Lotto Daudi, Canuty Fides
Department of General Surgery, Haydom Lutheran Hospital, Manyara, The United Republic of Tanzania.
Department of Radiology, Haydom Lutheran Hospital, Manyara, The United Republic of Tanzania.
East Afr Health Res J. 2024;8(2):164-167. doi: 10.24248/eahrj.v8i2.776. Epub 2024 Jun 26.
Ruptured parasitic dermoid cyst is one of the rare conditions that results from auto-amputation and re-implantation following torsion from the ovary and omentum, among other sites. Due to trauma to the abdomen, it may rupture, resulting in spillage of its contents and causing chemical peritonitis. The diagnosis is based on clinical presentation complimented by abdominal ultrasound in low resource settings. A case of a 44-year-old (Iraqw by tribe) who presented with clinical features of acute generalized abdominal pain and distension for two days following blunt abdominal trauma. The abdominal ultrasound revealed a mass of mixed echogenicity with intraperitoneal free fluid. She underwent laparotomy, revealing ruptured parasitic dermoid cyst adhered to the anterior abdominal wall and urinary bladder, then excised. The high degree of suspicion of ruptured parasitic dermoid cyst is justified in adult patient with chemical peritonitis manifestation. The laparotomy is surgical management of choice in low-resource settings followed by prolonged follow-up.
破裂的寄生性皮样囊肿是一种罕见的病症，它是由于卵巢、大网膜及其他部位发生扭转后自截并重新植入所致。由于腹部受到创伤，囊肿可能破裂，导致其内容物溢出并引起化学性腹膜炎。在资源匮乏地区，诊断基于临床表现并辅以腹部超声检查。有一例44岁（部落为伊拉克人）女性患者，在腹部钝性创伤后两天出现急性全腹疼痛和腹胀的临床症状。腹部超声显示有一个混合回声团块，伴有腹腔内游离液体。她接受了剖腹手术，术中发现一个破裂的寄生性皮样囊肿附着于前腹壁和膀胱，随后将其切除。对于出现化学性腹膜炎表现的成年患者，高度怀疑破裂的寄生性皮样囊肿是合理的。在资源匮乏地区，剖腹手术是首选的手术治疗方法，术后需进行长期随访。
