Document Detail

Hemoperitoneum caused by the rupture of a giant ovarian teratoma in a 9-year-old female. Case report and literature review.
MedLine Citation:
PMID:  19681297     Owner:  NLM     Status:  MEDLINE    
The Authors report the case of a 9-year-old girl suffering from acute abdominal pain, combined with mild anaemia (Hb 10.9 g/dL), leukocytosis (24.3 x 10(3) cells/dL), and a large palpable mass in the upper left quadrant. The child underwent an appendectomy 20 days before the admission to our Department. The operation performed in urgency, as well as the removal of a bulky mass situated in the left flank and the right ovary whence it arose, made it clear that abdominal signs and symptoms were caused by the twisting and rupturing of a neoformation, that would hence cause an impressive hemoperitoneum. The histopathologic examination showed a three-germ layer mature mixed teratoma. Clinical, radiologic and biochemical test (alpha-FP, beta-hcG) performed in a postoperative 2 months follow-up revealed no residual disease.
Giancarlo Candela; Lorenzo Di Libero; Sergio Varriale; Fiorenza Manetta; Salvatore Napolitano; Giovanni Scetta; Daniela Esposito; Valerio Sciascia; Luigi Santini
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Annali italiani di chirurgia     Volume:  80     ISSN:  0003-469X     ISO Abbreviation:  Ann Ital Chir     Publication Date:    2009 Mar-Apr
Date Detail:
Created Date:  2009-08-17     Completed Date:  2009-10-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372343     Medline TA:  Ann Ital Chir     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  141-4     Citation Subset:  IM    
VII Department of General Surgery, Second University of Naples, Italy.
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MeSH Terms
Abdominal Pain / etiology
Hemoperitoneum / etiology*,  surgery
Ovarian Neoplasms / complications*,  pathology,  surgery
Rupture, Spontaneous / complications
Teratoma / complications*,  pathology,  surgery
Treatment Outcome

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