Spontaneous Rupture of Benign Ovarian Cystic Teratoma in a Premenarcheal Girl - 08/08/11
, Kousaku Matsubara, MD 1, Yumiko Umemoto, MD 2, Kimio Hashimoto, MD 3, Takashi Fukaya, MD 1
Address correspondence to: Aya Iwata, MD, Department of Pediatrics, Nishi-Kobe Medical Center, 5-7-1 Kojidai, Nishi-ku, Kobe 651-2273, Japan; Phone: +81-78-997-2200; Fax: +81-78-993-3728Abstract |
Background |
Spontaneous rupture of benign cystic ovarian teratoma is an unusual occurrence.
Case |
A 9-year-old girl presented with acute onset of abdominal pain. Under a radiological diagnosis of cystic ovarian teratoma, she underwent laparoscopic cystectomy, preserving as much ovarian tissue as possible. Direct observation of a defect on the tumor surface and the presence of keratinized squamous cells in the ascites were important clues for intraperitoneal rupture. Pathologically, the defect was surrounded by inflamed tissues adjacent to the gastric mucosa, suggesting that autolysis of the wall by proteolytic enzymes induced the spontaneous rupture.
Summary and conclusion |
We present the youngest and first premenarcheal case of spontaneous rupture of cystic ovarian teratoma. Early diagnosis and minimally invasive surgical procedure are essential to preserve future fertility.
El texto completo de este artículo está disponible en PDF.Key Words : Childhood, Ovarian teratoma, Premenarche, Spontaneous rupture
Esquema
Vol 22 - N° 5
P. e121-e123 - octobre 2009 Regresar al número
Artículo precedente
- Massive Ovarian Edema and Contralateral Mature Cystic Teratoma: Asymptomatic Presentation in a Premenarchal Female
- F.H. Peters, C. Brunell, E. Benjamin
- Vaginal Müllerian Papilloma: An Unusual Cause of Vaginal Bleeding in a Toddler
- Carlos A. Reck-Burneo, Jocelyn Villanueva, Francisca T. Velcek
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
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