Intraperitoneal rupture of mature cystic ovarian teratoma secondary to sit-ups.
A case of general peritonitis caused by sudden perforation of a mature cystic ovarian teratoma is presented. The clinical course consisted of progressive abdominal tenderness after a 1600-m run and 12 subsequent sit-ups. An exploratory laparotomy revealed massive ascites and a 10-cm linear perforation over the dome of the tumor, probably caused by a sharp elevation of intra-abdominal pressure generated during the sit-ups. Neither peritoneal granulomatous reaction nor inflammatory adhesions to adjacent bowel loops were found. A search of the English literature did not reveal any similar case.
Chang
Yu-Tang
YT
Division of Pediatric Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan. 890300@ms.kmuh.org.tw
Lin
Jan-You
JY
D000293:Adolescent; D001265:Athletic Injuries / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D007813:Laparotomy; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000601:surgery*; D010053:Ovary / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology / Q000601:surgery*; D012421:Rupture; D013724:Teratoma / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography