巨型先天性卵巢囊肿表现为腹部肿块

IF 1.7 Q2 PEDIATRICS
Clinical Medicine Insights-Pediatrics Pub Date : 2024-10-10 eCollection Date: 2024-01-01 DOI:10.1177/11795565241290131
Jay Lodhia
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引用次数: 0

摘要

附件肿块在儿童中并不常见,但由于诊断设备的进步,越来越多的人认识到了这一点。儿科人群中的此类肿块通常会引起对恶性肿瘤的担忧。通常情况下,这些肿块较小,可以自行消退;但较大的肿块由于其症状和体征,会给诊断带来困难,临床医生需要特别警惕。每 2500 例活产中就有 1 例单纯性卵巢囊肿。它们通常在产前通过超声波检查诊断为腹内肿块。虽然没有既定的处理指南,但较大的囊肿一般采用手术(开腹或腹腔镜手术)处理,目的是保护卵巢并确保未来的生育能力。在此,我们介绍一例新生儿异常巨大的先天性卵巢囊肿,该囊肿模仿腹部肿块,导致呼吸困难。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Giant Congenital Ovarian Cyst Presenting as an Abdominal Mass.

Adnexal masses are uncommon in children but are increasingly recognized due to advancements in diagnostic facilities. Such masses in the pediatric population often raise concerns about malignancy. Typically, these masses are small and can resolve spontaneously; however, larger ones can pose a diagnostic dilemma due to their signs and symptoms, requiring clinicians to be particularly vigilant. Simple ovarian cysts are seen in 1 in 2500 live births. They are commonly diagnosed prenatally as intra-abdominal masses by ultrasonography. While there are no established guidelines for management, larger cysts are generally managed surgically (either open or laparoscopic) with the aim of protecting the ovaries and ensuring future fertility. Herein, we present a case of an unusually large congenital ovarian cyst in a newborn that mimicked an abdominal mass, leading to respiratory compromise.

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