- 期刊
Ovarian Cyst with Torsion Presenting as a Wandering Mass in a Newborn
新生兒卵巢囊腫發生扭轉以游走的腫塊來表現
摘要
我們在此報告一個卵巢漿液性囊狀腺瘤(ovarian serous cystadenoma)發生扭轉卻以遊走於腹腔中的腫塊來表現的特殊病例。一名足月產女嬰在妊娠34周大時，經產前超音波發現左腹腔內有個約4.8×3.2公分的囊腫；出生之後，一系列的影像檢查（包括腹部超音波和電腦斷層）卻顯示此囊腫位於右腹腔且呈現液髓一沉積物界面(fluid-debris level)。由於高度懷疑發生卵巢扭轉，因此在她一週大時予以施行手術；手術中确認左側卵巢經發生扭轉并壤死，於是施以左側卵巢輸卵管切除術。病理報告此囊腫為良性的卵巢漿液性囊狀腺瘤。依此病例及文獻報告我們認為：在女性胎兒及新生兒若發現到一個遊走的腹部囊腫，必須高度注意卵巢扭轉的可能性并且應將逆走的腫塊列為手術的適應症以防卵巢壞死。
並列摘要
A case of ovarian serous cystadenoma with torsion presenting as a wandering abdominal mass is reported. A full-term baby girl was noted to have a left pelvic cyst by prenatal ultrasound at the 34th gestational week. After delivery, a series of work-ups, including ultrasonography and CT scan, revealed a cyst with fluid-debris level in the right pelvis. An ovarian cyst with torsion was suspected and surgical intervention was done when she was 7 days old. The operative findings confirmed a left ovarian cystic mass with torsion. A left salpingo-oophorectomy was performed smoothly. Pathology revealed the typical microscopic findings of ovarian serous cystadenoma, a benign epithelial tumor of ovary. We suggest that a wandering ovarian cystic mass in female fetus and newborn should be considered an indication for surgical intervention due to its high risk of torsion.