背景:附件扭转(AT)是以急腹症为特征的妇科疾病之一。临床上,直径30厘米的巨大卵巢囊肿扭转是罕见的。因此,准确及时的诊断和治疗很重要。
方法:一位25岁未婚女性,突然改变位置后,出现间歇性腹部绞痛。考虑到她的症状和检查,超声,和磁共振成像(MRI)结果,怀疑卵巢囊肿扭转。
方法:巨大卵巢囊肿蒂扭转。
方法:立即进行剖腹探查手术。
结果:术中,我们发现了一个30厘米长的左侧卵巢囊肿,根部清晰。左输卵管,盆底韧带,卵巢韧带扭曲900度。最后,病理报告显示粘液性囊腺瘤。
结论:直径30cm的巨大卵巢囊肿扭转少见。考虑到她的症状和检查,超声,和MRI结果,怀疑卵巢囊肿扭转。患者使用紧急手术成功治疗。
BACKGROUND: Adnexal torsion (AT) is one of a gynecological condition characterized by an acute abdomen. Clinically, a giant ovarian cyst torsion with a diameter of 30 cm is rare. Therefore, an accurate and timely diagnosis and treatment are important.
METHODS: A 25-year-old unmarried female, presented to the emergency department with intermittent abdominal cramps after a sudden change in position. Considering her symptoms and examination, ultrasound, and magnetic resonance imaging (MRI) results, ovarian cyst torsion was suspected.
METHODS: Giant ovarian cyst torsion.
METHODS: Surgical intervention with exploratory laparotomy was performed immediately.
RESULTS: Intraoperatively, we found a 30-cm left ovarian cyst with a clear root. The left fallopian tube, infundibulopelvic ligament, and ovarian ligament were twisted 900 degrees. Finally, the pathological report revealed mucinous cystadenoma.
CONCLUSIONS: Giant ovarian cyst torsion with a diameter of 30 cm is rare. Considering her symptoms and examination, ultrasound, and MRI results, ovarian cyst torsion was suspected. The patient was successfully treated using emergency surgery.