title: [Ovarian Cancer Rupture Causing Acute Abdomen That Required Emergency Surgery - A Case Report].
abstract: A 50-year-old post-menopausal woman with sudden lower abdominal pain was transported to hospital by ambulance. Abdominal symptoms and computed tomography(CT)suggested a diagnosis of acute pan-peritonitis due to gastrointestinal perforation, and emergency surgery was performed. The intraoperative findings led to a diagnosis of a ruptured cyst in the left ovary, a portion of which was observed to be partially solid, and therefore, ovarian cancer was suspected. Accordingly, a unilateral(left)salpingo-oophorectomy and intraperitoneal drainage were performed with assistance from a gynecologist. Following a diagnosis of ovarian clear cell adenocarcinoma based on histopathological examination, the patient underwent further debulking surgery at a later date, followed by postoperative chemotherapy. In acute pan-peritonitis associated with a large quantity of ascites in women, the rupture of ovarian tumors should be considered as a possible etiology. The therapeutic strategy for ovarian cancer is determined according to post-operative staging, even during emergency surgery. It is therefore important not only to repair the rupture, but also, if possible, to perform a diagnosticbiopsy or resection.
authors.affiliation: Dept. of Surgery, Fuchu Hospital.
authors.forename: Yoshihito
authors.initials: Y
authors.lastname: Yamakoshi
authors.forename: Naoki
authors.initials: N
authors.lastname: Aomatsu
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Yamasaki
authors.forename: Chihoko
authors.initials: C
authors.lastname: Nobori
authors.forename: Shigeaki
authors.initials: S
authors.lastname: Kurihara
authors.forename: En
authors.initials: E
authors.lastname: Wang
authors.forename: Daisuke
authors.initials: D
authors.lastname: Nagashima
authors.forename: Toshiki
authors.initials: T
authors.lastname: Hirakawa
authors.forename: Takehiko
authors.initials: T
authors.lastname: Iwauchi
authors.forename: Junya
authors.initials: J
authors.lastname: Morimoto
authors.forename: Seika
authors.initials: S
authors.lastname: Tei
authors.forename: Kazunori
authors.initials: K
authors.lastname: Nakazawa
authors.forename: Yasutake
authors.initials: Y
authors.lastname: Uchima
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Takeuchi
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology*; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D016190:Carboplatin / Q000008:administration & dosage; D004632:Emergency Medical Services; D005260:Female; D006801:Humans; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000601:surgery*; D010052:Ovariectomy; D017239:Paclitaxel / Q000008:administration & dosage; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed
chemical_list: D016190:Carboplatin; D017239:Paclitaxel