卵巣嚢腫茎捻転と鑑別を要した腸間膜嚢腫の1例

概要

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We report a case of a mesenteric cyst of the ileum that required differential diagnosis from torsion of an ovarian cyst. A 25-year-old woman, 0G0P, was referred to our clinic due to acute abdomen. Transvaginal ultrasonography and CT demonstrated a multiloculated cystic mass in the posterior culdesac. Torsion of a right ovarian cyst was suspected, and laparoscopy was performed. We found a fist-sized multi-cystic tumor involving the ileum and its mesenterium, which was resected with the adjacent part of the ileum under laparotomy, and end-to-end anastomosis was carried out. Histopathological diagnosis revealed a mesenteric inflammatory cyst of the ileum. We concluded that laparoscopic evaluation was of great use in the diagnosis of a case of acute abdomen wiht mass in the pelvis.
社団法人日本産科婦人科学会の論文
1999-07-01