子宮付属器茎捻転を発症した多嚢胞性卵巣症候群の1例

概要

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We reported a patient with polycystic ovary syndrome and torsion of the uterine adnexa. A 27-year-old nulligravida was admitted to the hospital with low abdominal pain. Ultrasound showed an 86 × 61 × 55mm mass in the right pelvis. Though conjugated estrogen and dydrogesterone were taken, she wasn't using clomiphene citrate and gonadotropins for induction of ovulation. On laparotomy, a large twisted and ruptured right adnexa was found and right salpingo-oophorectomy was done. The left ovary was enlarged to a diameter of 6cm, and there were many cysts on the surface. It was treated by ovarian electrocautery at the same time. Histological examination of the right adnexa revealed a hemorrhagic infarct.
社団法人日本産科婦人科学会の論文
2001-10-01