一名有脐膨出病史的青少年患者的卵巢和输卵管移位。

IF 1.7 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Journal of pediatric and adolescent gynecology Pub Date : 2024-06-18 DOI:10.1016/j.jpag.2024.06.003

{"title":"一名有脐膨出病史的青少年患者的卵巢和输卵管移位。","authors":"","doi":"10.1016/j.jpag.2024.06.003","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Omphalocele is an abnormality in which fetal abdominal organs protrude through the abdominal wall.</p></div><div><h3>Case Report</h3><p>We report the case of a 13-year-old female with a history of omphalocele repair who presented with acute periumbilical pain, nausea, and vomiting. A computed tomography scan showed a para-ovarian cyst and mild dilation of the small bowel. During laparoscopy, the right ovary and fallopian tube were detached from the uterus and located behind the cecum. Despite this displacement, the ovary appeared to have retained functionality with intact blood supply. We hypothesize that surgical repair led to pelvic adhesion that caused torsion and avulsion of the fallopian tube and utero-ovarian ligament that led to the displacement.</p></div><div><h3>Conclusion</h3><p>This anatomical change should be considered in surgical patients with a history of omphalocele repair.</p></div>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":"37 5","pages":"Pages 527-529"},"PeriodicalIF":1.7000,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1083318824002328/pdfft?md5=7bfe1375a1a849b903a6bb6b2775a710&pid=1-s2.0-S1083318824002328-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Ovary and Fallopian Tube Displacement in an Adolescent Patient with a History of Omphalocele\",\"authors\":\"\",\"doi\":\"10.1016/j.jpag.2024.06.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Omphalocele is an abnormality in which fetal abdominal organs protrude through the abdominal wall.</p></div><div><h3>Case Report</h3><p>We report the case of a 13-year-old female with a history of omphalocele repair who presented with acute periumbilical pain, nausea, and vomiting. A computed tomography scan showed a para-ovarian cyst and mild dilation of the small bowel. During laparoscopy, the right ovary and fallopian tube were detached from the uterus and located behind the cecum. Despite this displacement, the ovary appeared to have retained functionality with intact blood supply. We hypothesize that surgical repair led to pelvic adhesion that caused torsion and avulsion of the fallopian tube and utero-ovarian ligament that led to the displacement.</p></div><div><h3>Conclusion</h3><p>This anatomical change should be considered in surgical patients with a history of omphalocele repair.</p></div>\",\"PeriodicalId\":16708,\"journal\":{\"name\":\"Journal of pediatric and adolescent gynecology\",\"volume\":\"37 5\",\"pages\":\"Pages 527-529\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2024-06-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S1083318824002328/pdfft?md5=7bfe1375a1a849b903a6bb6b2775a710&pid=1-s2.0-S1083318824002328-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of pediatric and adolescent gynecology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1083318824002328\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of pediatric and adolescent gynecology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1083318824002328","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}

引用次数: 0

摘要

脐膨出是胎儿腹腔器官突出腹壁的一种畸形。我们报告了一例 13 岁女性的病例，她曾做过脐膨出修补术，并出现急性脐周疼痛、恶心和呕吐。计算机断层扫描显示她患有卵巢旁囊肿和小肠轻度扩张。腹腔镜检查发现，右侧卵巢和输卵管与子宫分离，位于盲肠后方。尽管发生了移位，但卵巢似乎仍保留了功能，血液供应完好。作者推测，手术修复导致盆腔粘连，造成输卵管和子宫卵巢韧带扭转和撕脱，从而导致移位。对于有输卵管修补术史的手术患者，应考虑到这一解剖变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Ovary and Fallopian Tube Displacement in an Adolescent Patient with a History of Omphalocele

Background

Omphalocele is an abnormality in which fetal abdominal organs protrude through the abdominal wall.

Case Report

We report the case of a 13-year-old female with a history of omphalocele repair who presented with acute periumbilical pain, nausea, and vomiting. A computed tomography scan showed a para-ovarian cyst and mild dilation of the small bowel. During laparoscopy, the right ovary and fallopian tube were detached from the uterus and located behind the cecum. Despite this displacement, the ovary appeared to have retained functionality with intact blood supply. We hypothesize that surgical repair led to pelvic adhesion that caused torsion and avulsion of the fallopian tube and utero-ovarian ligament that led to the displacement.

Conclusion

This anatomical change should be considered in surgical patients with a history of omphalocele repair.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of pediatric and adolescent gynecology 医学-妇产科学

CiteScore

3.90

自引率

11.10%

发文量

251

审稿时长

57 days

期刊介绍： Journal of Pediatric and Adolescent Gynecology includes all aspects of clinical and basic science research in pediatric and adolescent gynecology. The Journal draws on expertise from a variety of disciplines including pediatrics, obstetrics and gynecology, reproduction and gynecology, reproductive and pediatric endocrinology, genetics, and molecular biology. The Journal of Pediatric and Adolescent Gynecology features original studies, review articles, book and literature reviews, letters to the editor, and communications in brief. It is an essential resource for the libraries of OB/GYN specialists, as well as pediatricians and primary care physicians.