title: Acute abdomen secondary to rare yolk sac tumour.
abstract: A 36-year-old woman presented unwell, with abdominal pain. A pelvic mass was found and being investigated but when she deteriorated and became peritonitic. An emergency laparotomy was performed and she required a pelvic clearance for a Stage IIB ovarian tumour, later confirmed as a yolk sac tumour. Accurate staging and tumour-reductive surgery strongly affects the prognosis of yolk sac tumours. Thus ability to perform a meticulous surgical clearance may well positively impact on the outcome for these young patients. This case describes the challenges that generalists will be faced with when highly suspicious cancer patients present as an emergency.
authors.affiliation: Department of Obstetrics and Gynaecology, Milton Keynes General Hospital, Buckinghamshire, UK. Hooman_sm@yahoo.com
authors.forename: Hooman
authors.initials: H
authors.lastname: Soleymani Majd
authors.forename: Sally Ann
authors.initials: SA
authors.lastname: Turner
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Choji
authors.forename: Khin
authors.initials: K
authors.lastname: Lwin
authors.forename: Christopher
authors.initials: C
authors.lastname: B-Lynch
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology*; D000328:Adult; D044963:Biopsy, Fine-Needle; D002497:Centralized Hospital Services; D002983:Clinical Competence; D018240:Endodermal Sinus Tumor / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008197:Lymph Node Excision; D009367:Neoplasm Staging; D009852:Omentum / Q000473:pathology / Q000601:surgery; D010051:Ovarian Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D010052:Ovariectomy; D012017:Referral and Consultation; D012422:Rupture, Spontaneous / Q000601:surgery; D014057:Tomography, X-Ray Computed; D006113:United Kingdom