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題名 | Laparoscopic Cystectomy of a Twisted, Benign, Ovarian Teratoma in the First Trimester of Pregnancy=以腹腔鏡手術剝除在妊娠前期扭轉之良性卵巢畸胎瘤 |
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作者 | 嚴孟祿; 陳祈安; 黃思誠; 謝長堯; | 書刊名 | 臺灣醫學會雜誌 |
卷期 | 99:4 2000.04[民89.04] |
頁次 | 頁345-347 |
分類號 | 417.25 |
關鍵詞 | 腹腔鏡手術; 妊娠前期; 良性卵巢畸胎瘤; Ovarian torsion; Ovarian teratoma; Pregnancy complication; Laparoscopy; |
語文 | 英文(English) |
英文摘要 | Adnexal torsion is an unusual, but serious complication in pregnancy. The treatment is surgical, but this may increase the risk of pregnancy loss in the first trimester. The use of laparoscopic surgery, which is less invasive than traditional laparotomy, has been limited by diagnostic and technical difficulties including determination of ovarian tumor nature and spillage of cyst contents intraoperatively. A 25-year-old woman in her 11th week of pregnancy had acute severe left lower abdominal pain, which was diagnosed as left ovarian teratoma with torsion. She underwent emergency laparoscopic surgery with unwinding of the twisted fallopian tube and ovary and cystectomy of the teratoma. The patient subsequently delivered a full-term baby, without complications. Accurate ultrasound and cytologic diagnoses along with copious intraoperative warm, normal saline irrigation were likely contributing factors to the successful outcome of this case. |
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