Acute Abdomen due to Mutual Tangle of Two Small Paratubal Cysts
A 30-year-old woman (gravida 0) visited our hospital with a complaint of right lower abdominal pain. Transvaginal ultrasonography revealed a 5-cm swollen right ovary, which was suspected to be a mature cystic teratoma. Pelvic examination revealed moderate pain. Contrast-enhanced computed tomography...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2018/2351809 |
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| author | Hiroharu Kobayashi Shinichi Shibuya Kentaro Iga Keiichiro Kato Airi Kato Shuhei Terada Hiroshi Adachi |
| author_facet | Hiroharu Kobayashi Shinichi Shibuya Kentaro Iga Keiichiro Kato Airi Kato Shuhei Terada Hiroshi Adachi |
| author_sort | Hiroharu Kobayashi |
| collection | DOAJ |
| description | A 30-year-old woman (gravida 0) visited our hospital with a complaint of right lower abdominal pain. Transvaginal ultrasonography revealed a 5-cm swollen right ovary, which was suspected to be a mature cystic teratoma. Pelvic examination revealed moderate pain. Contrast-enhanced computed tomography showed a 44-mm cystic mass containing fat and calcified material in the right pelvis. Since torsion was suspected, emergent laparoscopic surgery was performed. Intraoperative findings were a swollen right ovary without torsion or congestion. Two small pedunculated 1- and 2-cm diameter paratubal cysts that grew from almost the same place of the ampulla of the right fallopian tube were observed. The thin stalk of the 1-cm paratubal cyst was entangled around the stalk of the 2-cm paratubal cyst, with its head congested. Through a small abdominal laparoscopic incision, the tumor of the right ovary and the two paratubal cysts were excised. Histopathological examination revealed that the right ovarian tumor was a mature cystic teratoma, and the two paratubal cysts had no malignancy. This case showed that only a 2-cm tumor with congestion caused the acute abdomen. |
| format | Article |
| id | doaj-art-41a77b6c13e942aea5b18a37af8e82f9 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-41a77b6c13e942aea5b18a37af8e82f92025-02-03T05:57:48ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922018-01-01201810.1155/2018/23518092351809Acute Abdomen due to Mutual Tangle of Two Small Paratubal CystsHiroharu Kobayashi0Shinichi Shibuya1Kentaro Iga2Keiichiro Kato3Airi Kato4Shuhei Terada5Hiroshi Adachi6Department of Obstetrics and Gynecology, Seirei Hamamatsu General Hospital, JapanDepartment of Obstetrics and Gynecology, Seirei Hamamatsu General Hospital, JapanDepartment of Obstetrics and Gynecology, Seirei Hamamatsu General Hospital, JapanDepartment of Obstetrics and Gynecology, Seirei Hamamatsu General Hospital, JapanDepartment of Obstetrics and Gynecology, Seirei Hamamatsu General Hospital, JapanDepartment of Obstetrics and Gynecology, Seirei Hamamatsu General Hospital, JapanDepartment of Obstetrics and Gynecology, Seirei Hamamatsu General Hospital, JapanA 30-year-old woman (gravida 0) visited our hospital with a complaint of right lower abdominal pain. Transvaginal ultrasonography revealed a 5-cm swollen right ovary, which was suspected to be a mature cystic teratoma. Pelvic examination revealed moderate pain. Contrast-enhanced computed tomography showed a 44-mm cystic mass containing fat and calcified material in the right pelvis. Since torsion was suspected, emergent laparoscopic surgery was performed. Intraoperative findings were a swollen right ovary without torsion or congestion. Two small pedunculated 1- and 2-cm diameter paratubal cysts that grew from almost the same place of the ampulla of the right fallopian tube were observed. The thin stalk of the 1-cm paratubal cyst was entangled around the stalk of the 2-cm paratubal cyst, with its head congested. Through a small abdominal laparoscopic incision, the tumor of the right ovary and the two paratubal cysts were excised. Histopathological examination revealed that the right ovarian tumor was a mature cystic teratoma, and the two paratubal cysts had no malignancy. This case showed that only a 2-cm tumor with congestion caused the acute abdomen.http://dx.doi.org/10.1155/2018/2351809 |
| spellingShingle | Hiroharu Kobayashi Shinichi Shibuya Kentaro Iga Keiichiro Kato Airi Kato Shuhei Terada Hiroshi Adachi Acute Abdomen due to Mutual Tangle of Two Small Paratubal Cysts Case Reports in Obstetrics and Gynecology |
| title | Acute Abdomen due to Mutual Tangle of Two Small Paratubal Cysts |
| title_full | Acute Abdomen due to Mutual Tangle of Two Small Paratubal Cysts |
| title_fullStr | Acute Abdomen due to Mutual Tangle of Two Small Paratubal Cysts |
| title_full_unstemmed | Acute Abdomen due to Mutual Tangle of Two Small Paratubal Cysts |
| title_short | Acute Abdomen due to Mutual Tangle of Two Small Paratubal Cysts |
| title_sort | acute abdomen due to mutual tangle of two small paratubal cysts |
| url | http://dx.doi.org/10.1155/2018/2351809 |
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