title: Complications of dysgerminoma: meeting the health needs of patients in conflict zones.
abstract: A symptom of prolonged conflict is the destruction of infrastructure and healthcare systems. While the need for acute trauma services is obvious in conflict zones, patients with chronic diseases also require care. This report describes the clinical course of a young teenage girl with a large mid pelvic tumour originating from the left ovary and reaching the umbilicus. She presented with acute abdominal pain and underwent surgery in a healthcare facility within a conflict zone. She was then transferred to a neighbouring country for continuing care. The tumour is malignant. After further surgery, she required chemotherapy and will need ongoing surveillance. She has since returned to her home country. It is doubtful that she will be able to access all the care she needs. We describe her healthcare needs and discuss the disastrous effects of conflict on meeting the health needs of civilian populations in war zones.
authors.affiliation: Ziv Medical Center, Tzfat, Israel.|Faculty of Medicine in the Galilee, Bar Ilan University.
authors.forename: Lili
authors.initials: L
authors.lastname: Hayari
authors.affiliation: Faculty of Medicine in the Galilee, Bar Ilan University.
authors.forename: Erez
authors.initials: E
authors.lastname: Shir On
authors.affiliation: Ziv Medical Center, Tzfat, Israel.
authors.forename: Andrei
authors.initials: A
authors.lastname: Fedorenko
authors.affiliation: Ziv Medical Center, Tzfat, Israel.
authors.forename: Szvalb
authors.initials: S
authors.lastname: Sergio
authors.affiliation: Ziv Medical Center, Tzfat, Israel.
authors.forename: Jamal
authors.initials: J
authors.lastname: Zidan
authors.affiliation: Ziv Medical Center, Tzfat, Israel.
authors.forename: Evgeny
authors.initials: E
authors.lastname: Solomonov
mesh_terms: D000293:Adolescent; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001761:Bleomycin / Q000008:administration & dosage; D002945:Cisplatin / Q000008:administration & dosage; D004407:Dysgerminoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D005047:Etoposide / Q000008:administration & dosage; D005260:Female; D005547:Foreign Bodies / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D017219:Gastric Outlet Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006301:Health Services Needs and Demand; D006801:Humans; D006869:Hydronephrosis / Q000000981:diagnostic imaging / Q000209:etiology*; D008197:Lymph Node Excision; D010051:Ovarian Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D018805:Sepsis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014857:Warfare
chemical_list: D001761:Bleomycin; D005047:Etoposide; D002945:Cisplatin