Infertility: CASE REPORT: Acute abdomen following dermoid cyst rupture during transvaginal ultrasonographically guided retrieval of oocytes

Coccia, Maria Elisabetta; Becattini, Carolina; Bracco, Gian Luca; Scarselli, Gianfranco

doi:10.1093/oxfordjournals.humrep.a019514

Cited by 17 publications

(10 citation statements)

References 7 publications

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“…Plusieurs cas de péritonites chimiques ont été rapportés dans la littérature [2,4,8,12,[14][15][16][17][18][19]. Dans la majorité des cas, il s'agit d'extravasation iatrogénique du kyste, soit par ponction, soit par rupture percoelioscopique.…”

Section: Discussionunclassified

“…C'est pourquoi, l'extraction de la composante solide implique parfois une minilaparotomie [5]. Pour réduire le risque de péritonite chimique, certains auteurs proposent en cas de kystectomie intrapéritonéale, le recours à la technique d'ensachage (extraction de la pièce dans un sac par un orifice de trocart) [2,5,17]. Cette technique permet de réduire le risque de rupture intrapéritonéale, le temps opéra-toire, les complications postopératoires et le risque de métastases sur le trajet du trocart.…”

Section: Discussionunclassified

See 1 more Smart Citation

Kyste dermoïde de l'ovaire compliqué d'une péritonite chimique. À propos d'un cas

Rubod

Triboulet

Vinatier

2007

Gynécologie Obstétrique & Fertilité

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Section: Discussionunclassified

Kyste dermoïde de l'ovaire compliqué d'une péritonite chimique. À propos d'un cas

Rubod

Triboulet

Vinatier

2007

Gynécologie Obstétrique & Fertilité

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“…Failure to adequately irrigate the pelvis following spillage has been shown to lead to severe granulomatous peritonitis post-operatively [11]. This manifests at subsequent laparotomy as diffuse purulent peritonitis with scattered yellow sebaceous fragments [11,12].…”

Section: Discussionmentioning

confidence: 99%

Severe granulomatous peritonitis and small-bowel fistula formation following the excision of an ovarian dermoid cyst: a case report

2007

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Dermoid cysts are the most common type of ovarian tumour and should be removed due to possible complications. We report a case of a woman who suffered severe granulomatous peritonitis following laparoscopic removal of a dermoid cyst. This required laparotomy, with subsequent enterocutaneous fistula formation. This case demonstrates the importance of adequate irrigation and the use of an endobag in removing dermoid cysts laparoscopically.

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“…Severe pelvic adhesions and pelvic endometriosis can also cause difficulties during pelvic surgery and increase the risk of complications. [4][5][6] Many operations can be performed as day surgery procedures, with patients being discharged home a few hours after operation. In order to ensure optimal use of day surgery facilities, it is important to make sure that the risk of converting a laparoscopic procedure to a laparotomy is minimal.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Surgery for Large Benign Ovarian Cysts: Experience in a Tertiary Care Hospital in Bangladesh

Jahan

Mahmud

Mondal

et al. 2011

Journal of Gynecologic Surgery

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Background: Laparoscopic surgery is the method of choice for treating women with benign adnexal masses. The aim of the current study is to assess the feasibility and surgical outcome of laparoscopic surgery among women with large benign ovarian cysts with a minimum risk of converting the operation to a laparotomy. Materials and methods: Symptomatic women (abdominal pain or mass) with a clinical or ultrasound diagnosis of an adnexal mass were offered a detailed transvaginal ultrasound scan in order to assess the feasibility of laparoscopic cystectomy=oophorectomy. The following patient information was abstracted: age, menopausal status, body-mass index, preoperative imaging studies, cyst dimensions, preoperative CA-125, date of surgery, surgical procedures, estimated amount of blood loss (EBL), conversion to laparotomy and its causes, operative time, operative and postoperative complications, length of hospital stay, and long-term follow-up. Results: All patients had transvaginal and transabdominal ultrasounds and 18 patients had computed tomography of the abdomen and pelvis. The mean and range of maximum diameter of the ovarian cysts were 16 (10-22 cm). Twenty-seven (27) cysts (51.5%) were unilocular and 16 (27.3%) had one to five septa. Fourteen (14) cysts (21.2%) had an echogenic area thought to be consistent with dermoids. None of the patients had ascites, omental cake, or lymphadenopathy in preoperative imaging studies. Fifty-two (84.8%) patients had preoperative CA-125 values within the normal range (<35 IU=mL). Five (5; 15.5%) patients had elevated 43, 53, 57, and 67 IU=mL, respectively). None of the patients had operative or postoperative complications or had to be converted to laparotomy. The mean (range) operative time, EBL, and hospital stay were 32 (20-45 minutes), 27 (5-55 mL), 8 (4-12 hours), respectively. The pathologic findings included endometriosis (n ¼ 14), dermoid (n ¼ 13), para-ovarian cyst (n ¼ 9), serous cyst adenoma (n ¼ 9), benign epithelial-lined cyst (simple cyst) (n ¼ 5), mucinous cystadenoma (n ¼ 4), borderline ovarian tumors (n ¼ 2), and peritoneal pseudocyst (n ¼ 1) Conclusions: Laparoscopic surgery among women with large benign ovarian cyst is feasible with a minimum risk of converting the operation to a laparotomy. ( J GYNECOL SURG 27:83)

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Infertility: CASE REPORT: Acute abdomen following dermoid cyst rupture during transvaginal ultrasonographically guided retrieval of oocytes

Cited by 17 publications

References 7 publications

Kyste dermoïde de l'ovaire compliqué d'une péritonite chimique. À propos d'un cas

Kyste dermoïde de l'ovaire compliqué d'une péritonite chimique. À propos d'un cas

Severe granulomatous peritonitis and small-bowel fistula formation following the excision of an ovarian dermoid cyst: a case report

Laparoscopic Surgery for Large Benign Ovarian Cysts: Experience in a Tertiary Care Hospital in Bangladesh

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