title: Hemoperitoneum caused by the rupture of a giant ovarian teratoma in a 9-year-old female. Case report and literature review.
abstract: The Authors report the case of a 9-year-old girl suffering from acute abdominal pain, combined with mild anaemia (Hb 10.9 g/dL), leukocytosis (24.3 x 10(3) cells/dL), and a large palpable mass in the upper left quadrant. The child underwent an appendectomy 20 days before the admission to our Department. The operation performed in urgency, as well as the removal of a bulky mass situated in the left flank and the right ovary whence it arose, made it clear that abdominal signs and symptoms were caused by the twisting and rupturing of a neoformation, that would hence cause an impressive hemoperitoneum. The histopathologic examination showed a three-germ layer mature mixed teratoma. Clinical, radiologic and biochemical test (alpha-FP, beta-hcG) performed in a postoperative 2 months follow-up revealed no residual disease.
authors.affiliation: VII Department of General Surgery, Second University of Naples, Italy.
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Candela
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Di Libero
authors.forename: Sergio
authors.initials: S
authors.lastname: Varriale
authors.forename: Fiorenza
authors.initials: F
authors.lastname: Manetta
authors.forename: Salvatore
authors.initials: S
authors.lastname: Napolitano
authors.forename: Giovanni
authors.initials: G
authors.lastname: Scetta
authors.forename: Daniela
authors.initials: D
authors.lastname: Esposito
authors.forename: Valerio
authors.initials: V
authors.lastname: Sciascia
authors.forename: Luigi
authors.initials: L
authors.lastname: Santini
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D002648:Child; D005260:Female; D006465:Hemoperitoneum / Q000209:etiology* / Q000601:surgery; D006801:Humans; D010051:Ovarian Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D012422:Rupture, Spontaneous / Q000150:complications; D013724:Teratoma / Q000150:complications* / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome