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Autoamputation of an ovarian mature cystic teratoma: a case report and a review of the literature
BACKGROUND: Torsion is known to be the most frequent complication of ovarian teratomas. Torsion of the adnexa usually manifests with severe abdominal pain and is treated as an acute surgical emergency. However, it may be asymptomatic. Autoamputation of an ovary, along with other adnexal structures,...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4989355/ https://www.ncbi.nlm.nih.gov/pubmed/27535361 http://dx.doi.org/10.1186/s12957-016-0981-7 |
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author | Lee, Keun Ho Song, Min Jong Jung, In Cheul Lee, Yong Seok Park, Eun Kyung |
author_facet | Lee, Keun Ho Song, Min Jong Jung, In Cheul Lee, Yong Seok Park, Eun Kyung |
author_sort | Lee, Keun Ho |
collection | PubMed |
description | BACKGROUND: Torsion is known to be the most frequent complication of ovarian teratomas. Torsion of the adnexa usually manifests with severe abdominal pain and is treated as an acute surgical emergency. However, it may be asymptomatic. Autoamputation of an ovary, along with other adnexal structures, due to previous torsion is extremely rare. CASE PRESENTATION: A parasitic ovarian teratoma that underwent torsion, autoamputation, and reimplantation was found incidentally during laparoendoscopic single-site surgery (LESS). The amputated tumor was located in the omentum of the right upper abdomen of a patient with concomitant torsion of a left ovarian teratoma. The right ovary and tube were absent even though she had no surgical history. This finding could be interpreted as an autoamputation of the adnexa due to torsion of a previous ovarian cyst arising from the right ovary. We removed all masses by LESS. CONCLUSIONS: Although both ultrasonography and computed tomography were performed preoperatively in our patient, the correct diagnosis of autoamputation and exact localization of the teratoma were extremely difficult. Physicians should consider the possibility of an autoamputated ovarian cyst even if preoperative radiography shows no calcification. |
format | Online Article Text |
id | pubmed-4989355 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-49893552016-08-19 Autoamputation of an ovarian mature cystic teratoma: a case report and a review of the literature Lee, Keun Ho Song, Min Jong Jung, In Cheul Lee, Yong Seok Park, Eun Kyung World J Surg Oncol Case Report BACKGROUND: Torsion is known to be the most frequent complication of ovarian teratomas. Torsion of the adnexa usually manifests with severe abdominal pain and is treated as an acute surgical emergency. However, it may be asymptomatic. Autoamputation of an ovary, along with other adnexal structures, due to previous torsion is extremely rare. CASE PRESENTATION: A parasitic ovarian teratoma that underwent torsion, autoamputation, and reimplantation was found incidentally during laparoendoscopic single-site surgery (LESS). The amputated tumor was located in the omentum of the right upper abdomen of a patient with concomitant torsion of a left ovarian teratoma. The right ovary and tube were absent even though she had no surgical history. This finding could be interpreted as an autoamputation of the adnexa due to torsion of a previous ovarian cyst arising from the right ovary. We removed all masses by LESS. CONCLUSIONS: Although both ultrasonography and computed tomography were performed preoperatively in our patient, the correct diagnosis of autoamputation and exact localization of the teratoma were extremely difficult. Physicians should consider the possibility of an autoamputated ovarian cyst even if preoperative radiography shows no calcification. BioMed Central 2016-08-17 /pmc/articles/PMC4989355/ /pubmed/27535361 http://dx.doi.org/10.1186/s12957-016-0981-7 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Lee, Keun Ho Song, Min Jong Jung, In Cheul Lee, Yong Seok Park, Eun Kyung Autoamputation of an ovarian mature cystic teratoma: a case report and a review of the literature |
title | Autoamputation of an ovarian mature cystic teratoma: a case report and a review of the literature |
title_full | Autoamputation of an ovarian mature cystic teratoma: a case report and a review of the literature |
title_fullStr | Autoamputation of an ovarian mature cystic teratoma: a case report and a review of the literature |
title_full_unstemmed | Autoamputation of an ovarian mature cystic teratoma: a case report and a review of the literature |
title_short | Autoamputation of an ovarian mature cystic teratoma: a case report and a review of the literature |
title_sort | autoamputation of an ovarian mature cystic teratoma: a case report and a review of the literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4989355/ https://www.ncbi.nlm.nih.gov/pubmed/27535361 http://dx.doi.org/10.1186/s12957-016-0981-7 |
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