晚期妊娠合并卵巢肿瘤扭转1例报道

A case report of late gestation combined with ovarian tumor torsion

妊娠期卵巢肿瘤多发生于妊娠早期,随着孕龄增加,发生率逐渐下降。扭转是卵巢肿瘤常见的并发症,是指卵巢及卵巢肿瘤、输卵管沿骨盆漏斗韧带及卵巢固有韧带发生的解剖学变位。妊娠期卵巢肿瘤扭转多发生于早孕期及中孕早期,发生于妊娠晚期者少见。因临床症状不典型,其诊断主要依赖于临床经验及综合评估,易发生误诊及漏诊。妊娠期卵巢肿瘤的治疗方案应根据诊断时的孕龄、肿瘤大小及性质、临床表现、手术干预的风险等综合制订,由于扭转、破裂引起的急性腹痛,在任何孕龄都需紧急手术。本文报道1例孕妇,孕36+2周因下腹痛入院,考虑晚期妊娠合并卵巢肿瘤扭转,急症行剖宫产术+卵巢肿瘤切除术,患者术后恢复好,新生儿生长发育良好。

Most of the ovarian tumors during pregnancy occur in early gestation,and the incidence gradually decreases with the increasing of gestational age.Torsion is a common complication of ovarian tumor,which refers to the anatomical displacement of the ovary,ovarian tumor,fallopian tube along with the infundibulopelvic ligament.Ovarian tumor torsion during pregnancy mostly occurs in early pregnancy,and rarely occurs in late pregnancy.Due to the atypical clinical symptoms,the diagnosis mainly depends on clinical experience and comprehensive evaluation,which is prone to misdiagnosis and missed diagnosis.Treatment of ovarian tumors during pregnancy should be based on the gestational age,the size of the tumor,clinical manifestations,and the risk of surgical intervention,etc.Emergency surgery is required at any gestational age due to acute abdominal pain caused by torsion or rupture。This paper reports a case of a pregnant woman,who was admitted to the hospital at 36+2 weeks of gestation due to lower abdominal pain.Considering the possibility of ovarian tumor torsion in late gestation,emergency surgery was performed.The patient recovered well after surgery,and the neonate grew well.