Tumor-like ovarian endometriosis with pregnancy decidua reaction: A case report and review of the literature.

IF 1.5 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL
Journal of International Medical Research Pub Date : 2025-05-01 Epub Date: 2025-05-29 DOI:10.1177/03000605251342519
Yu-Rou Zhang, Zhi-Li Li, Li Guo
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引用次数: 0

Abstract

We describe a case of bilateral ovarian tumor-like lesions detected during pregnancy. It is important to highlight that these masses were not detected for the first time during pregnancy; the patient had already been aware of them 2 years prior, during pregnancy preparation, when an ultrasound examination revealed bilateral space-occupying ovarian lesions. These lesions did not exhibit any increase in size during regular follow-ups until pregnancy. At 17 weeks of gestation, fetal ultrasound showed significant enlargement of the bilateral ovarian lesions. The patient underwent pelvic magnetic resonance imaging, which revealed cystic masses in both the ovaries with septations and multiple nodular and flocculent projections on the walls and septations, exhibiting features resembling malignant tumors. The cystic fluid within each cyst predominantly showed slightly short T1 and long T2 signal characteristics. The final diagnosis of lesions occupying the ovarian space was endometriotic cysts with a decidual reaction associated with pregnancy, which was confirmed on postoperative pathological examination. Subsequently, at 19 weeks of gestation, the patient underwent a "laparoscopic excision of the left ovarian lesion and right ovarian lesion stripping." The patient recovered well postoperatively and successfully delivered a baby at 39 weeks of gestation. Endometriosis with decidual reaction during pregnancy is rare and ectopic decidual tissue can easily be confused with neoplastic lesions using imaging results. In addition, clinicians must remain vigilant about the special conditions that ectopic decidual tissue may cause, such as cyst rupture, massive hemorrhage, dystocia, and even fetal death.

肿瘤样卵巢子宫内膜异位症合并妊娠蜕膜反应1例报告及文献复习。
我们描述了一个病例的双侧卵巢肿瘤样病变检测在怀孕期间。重要的是要强调,这些肿块不是在怀孕期间首次发现的;2年前,在准备怀孕期间,当超声检查发现双侧占位性卵巢病变时,患者已经意识到这些病变。在怀孕前的定期随访中,这些病变没有表现出任何大小的增加。妊娠17周时,胎儿超声显示双侧卵巢病变明显增大。患者行盆腔磁共振成像,双卵巢囊性肿物伴隔,壁及隔上多发结节状、絮状突起,表现类似恶性肿瘤。每个囊肿内的囊液主要表现为略短T1和长T2信号特征。卵巢占位性病变最终诊断为子宫内膜异位囊肿伴妊娠相关蜕膜反应,术后病理检查证实。随后,在妊娠19周时,患者接受了“腹腔镜左卵巢病变切除和右卵巢病变剥离”。患者术后恢复良好,妊娠39周成功分娩。子宫内膜异位症与妊娠期蜕膜反应是罕见的,异位蜕膜组织很容易与肿瘤病变相混淆。此外,临床医生必须对异位蜕膜组织可能引起的特殊情况保持警惕,如囊肿破裂、大出血、难产,甚至胎儿死亡。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.20
自引率
0.00%
发文量
555
审稿时长
1 months
期刊介绍: _Journal of International Medical Research_ is a leading international journal for rapid publication of original medical, pre-clinical and clinical research, reviews, preliminary and pilot studies on a page charge basis. As a service to authors, every article accepted by peer review will be given a full technical edit to make papers as accessible and readable to the international medical community as rapidly as possible. Once the technical edit queries have been answered to the satisfaction of the journal, the paper will be published and made available freely to everyone under a creative commons licence. Symposium proceedings, summaries of presentations or collections of medical, pre-clinical or clinical data on a specific topic are welcome for publication as supplements. Print ISSN: 0300-0605
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