PDF(Pubmed)
Abstract：
We present the case of a woman in her 20s with an eight-month history of increasing abdominal distention, dyspnea, and night sweats. The patient believed she was pregnant despite being told at another hospital that the pregnancy tests were negative, and no fetus was seen on an abdominal ultrasound. The patient delayed obtaining follow-up because of a distrust of the healthcare system and presented to our hospital at the behest of her mother. On physical examination, the abdomen was distended with a positive fluid wave, and a large mass was palpated in the abdomen. Gynecological examination was limited because of severe abdominal distension but a mass was palpable in the right adnexa. A pregnancy test and fetal ultrasound were performed, and the patient was not pregnant. A CT scan of the abdomen and pelvis revealed a large mass arising from the right adnexa. She underwent right salpingo-oophorectomy, appendectomy, omentectomy, lymph node dissection, and peritoneal implant resection. The biopsy confirmed intestinal-type IIB primary ovarian mucinous adenocarcinoma, expansile type, with peritoneal spread. Chemotherapy was provided for three cycles. A follow-up CT scan of the abdomen showed no evidence of a tumor six months after surgery.
摘要：
我们介绍了一个20多岁的女性，有八个月的腹胀史，呼吸困难,和盗汗。尽管在另一家医院被告知妊娠试验呈阴性，但患者仍认为自己怀孕了，腹部超声没有看到胎儿.由于对医疗保健系统的不信任，患者推迟了随访，并应母亲的要求送往我们医院。在体检时，腹部扩张有一个积极的液体波，腹部有一个大肿块。由于严重的腹胀，妇科检查受到限制，但右侧附件可见肿块。进行了妊娠试验和胎儿超声检查，病人没有怀孕.腹部和骨盆的CT扫描显示右侧附件产生了大肿块。她接受了右输卵管卵巢切除术，阑尾切除术,网膜切除术,淋巴结清扫术,和腹膜植入物切除术。活检证实肠型IIB原发性卵巢黏液腺癌，膨胀型,腹膜扩散。提供三个周期的化疗。腹部的后续CT扫描显示，手术后六个月没有肿瘤的迹象。
