卵巢囊肿根据其大小表现出不同的临床表现,类型和由此产生的后遗症。卵巢囊肿破裂很少见,囊肿感染更罕见。这里,我们报告了一个不寻常的案例,涉及一个年轻人,非孕妇,急性表现为腹膜炎和败血症的特征,并发现有复杂的附件肿块。经过严格的诊断评估,其中包括紧急剖腹探查术和输卵管卵巢切除术,常见诊断包括输卵管卵巢脓肿,排除子宫内膜异位囊肿和盆腔结核。相反,她被诊断出患有卵巢粘液性囊腺瘤,已被感染,可能是由于盆腔炎,导致自发破裂。这样的介绍很少有报道,尤其是在非怀孕环境中。因此,我们强调了在相似的临床表现中将这种罕见并发症作为潜在鉴别诊断的重要性,并讨论了管理意义。包括充分治疗盆腔炎的重要性。
Ovarian cysts exhibit variable clinical presentations depending on their size, type and resulting sequelae. Rupture of ovarian cysts is infrequent, and cyst infections are even rarer. Here, we report an unusual
case involving a young, non-pregnant woman who presented acutely with features of peritonitis and sepsis and was found to have a complex adnexal mass. Following a rigorous diagnostic evaluation, which included an urgent exploratory laparotomy and salpingo-oophorectomy, common diagnoses including tubo-ovarian abscess, endometriotic cyst and pelvic tuberculosis were ruled out. Instead, she was diagnosed with an ovarian mucinous cystadenoma that had become infected, possibly due to pelvic inflammatory disease, leading to spontaneous rupture. Such a presentation has rarely been reported, especially in a non-pregnant setting. Therefore, we emphasise the importance of considering this rare complication as a potential differential diagnosis in similar clinical presentations and discuss the management implications, including the importance of adequately treating pelvic inflammatory disease.