Hubbell G P, Punch M R, Elkins T E, Abrams G D
Department of Obstetrics and Gynecology, University of Michigan Medical Center, Ann Arbor 48109-0718.
J Reprod Med. 1993 Jan;38(1):61-4.
A case of bilateral massive ovarian edema with unilateral ovarian torsion is reported. Following surgical removal of the adnexa with the torsion, the edema of the opposite ovary resolved with oral contraceptive therapy. This has not been previously reported. This case is instructive because the nodular appearance and yellow color of the ovaries and the presence of yellow ascitic fluid could lead to an erroneous diagnosis of malignancy, resulting in performance of a more radical surgical procedure than is necessary. A review of the literature and the unusual nature of this lesion indicates the need for caution in diagnosis and management.
本文报告一例双侧卵巢重度水肿合并单侧卵巢扭转的病例。在手术切除扭转的附件后，对侧卵巢的水肿通过口服避孕药治疗得以消退。此前尚未有过此类报道。该病例具有指导意义，因为卵巢的结节状外观、黄色以及黄色腹水的存在可能会导致对恶性肿瘤的误诊，从而进行比必要情况更为激进的手术。对文献的回顾以及该病变的特殊性质表明在诊断和处理时需要谨慎。
