Vegetable fibre in an infected ovarian dermoid cyst.
| Autor: | Villarreal CM; Oakland University William Beaumont School of Medicine, Rochester, Michigan, USA., Yedavally S; Oakland University William Beaumont School of Medicine, Rochester, Michigan, USA., Mulhem E; Oakland University William Beaumont School of Medicine, Rochester, Michigan, USA. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ case reports [BMJ Case Rep] 2019 Mar 31; Vol. 12 (3). Date of Electronic Publication: 2019 Mar 31. |
| DOI: | 10.1136/bcr-2018-224867 |
| Abstrakt: | Tubo-ovarian abscesses (TOAs) are inflammatory masses involving the fallopian tube, ovary and occasionally other adjacent pelvic organs. A 32-year-old woman with no significant medical history presented with a chief complaint of lower abdominal pain. Initial CT of the abdomen was suggestive of a colon abscess; however, a repeat CT suggested a TOA. The left ovary was densely adherent to the left pelvic sidewall and the rectosigmoid colon. The content of the ovary was consistent with a dermoid and suspected of superinfection. Pathological examination of the tissue revealed normal ovarian cortical tissue, hair cells, melanin, and epidermal and neural tissue, as well as evidence of a foreign object resembling vegetable matter. The vegetable fibre found in this patient's biopsy was of an unclear aetiology, but probably indicates a perforation of the bowel. Any cause of bowel perforation adjacent to the adnexa can lead to TOA, therefore providing a rational speculation for this case. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Databáze: | MEDLINE |
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