卵巢囊纤维瘤:一种无辜的瘤,导致早期的术后小肠阻塞和穿孔外周炎
Mishu Mangla1, Krishna Ramavath2, Naina Kumar1
1Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Bibinagar, Telangana, India.
Journal of mid-life health
|May 20, 2024
概括
卵巢血清细胞膜瘤 (CAF) 是一种罕见的良性卵巢瘤,经常被误诊为恶性. 高度怀疑至关重要,因为对CAF进行不必要的广泛手术可能会导致严重的并发症.
科学领域:
- 妇科瘤学 妇科瘤学
- 手术病理学手术病理学
背景情况:
- 卵巢血清细胞纤维瘤 (CAF) 是一种罕见的良性卵巢上皮瘤.
- 在超声波 (USG) 和计算机断层扫描 (CT) 等成像方式上,CAF经常被误诊为恶性卵巢质量.
研究的目的:
- 突出与卵巢血清性囊纤维瘤 (CAF) 相关的诊断挑战和潜在并发症.
- 强调高临床怀疑对准确诊断和CAF适当管理的重要性.
- 介绍一个案例,说明错误诊断和过度激进的外科干预的后果.
主要方法:
- 一个69岁的女性出现下腹疼痛的病例报告.
- 诊断成像包括USG和CT暗示可疑的卵巢质量.
- 手术干预包括分期腹腔切除术与广泛的淋巴切除术和活检.
主要成果:
- 图像显示有恶性卵巢质量,这导致了广泛的手术干预.
- 手术后的组织病理学证实了瘤是良性卵巢血清性囊腺纤维瘤 (CAF).
- 患者患上了早期的术后小肠阻塞,由于进行了广泛的手术,需要重新探索.
结论:
- 卵巢血清细胞纤维瘤 (CAF) 需要高的怀疑指数,因为经常被误诊为恶性瘤.
- 在假设恶性瘤的情况下进行的广泛的手术可能会导致良性CAF患者的严重并发症.
- 准确的手术前诊断和量身定制的手术方法对于避免CAF病例中阳性致病率至关重要.
相关概念视频
Appendicitis-I: Introduction
115
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
115
Inflammatory Bowel Disease II: Crohn's Disease
217
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
217
Esophageal Perforation-II: Clinical Manifestations and Management
56
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
56
Oogenesis
63.7K
In human women, oogenesis produces one mature egg cell or ovum for every precursor cell that enters meiosis. This process differs in two unique ways from the equivalent procedure of spermatogenesis in males. First, meiotic divisions during oogenesis are asymmetric, meaning that a large oocyte (containing most of the cytoplasm) and minor polar body are produced as a result of meiosis I, and again following meiosis II. Since only oocytes will go on to form embryos if fertilized, this unequal...
63.7K
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
73
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
73
Appendicitis-II: Diagnostic Studies and Management
76
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
76


