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Iatrogenic Teratoma Rupture during TVOR Complicated with Peritonitis, Pleuritis, and Septic Shock
Joint Authors
Wang, Pei-Yi
Chang, Yi-En
Lee, Yu-Chieh
Tzeng, Chii Ruey
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-09-10
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Objective.
To obtain a better understanding of the clinical course and the subsequent complications of teratoma rupture.
Case.
We report a rare case of chemical peritonitis and pleuritis caused by teratoma rupture during ultrasonographically guided transvaginal oocyte retrieval (TVOR).
The patient initially presented with nonspecific and digestive symptoms after TVOR, but the condition deteriorated rapidly after three weeks with peritonitis and septic shock.
Thus, exploratory laparoscopy was performed with the findings of a ruptured teratoma at left adnexa, severe adhesions, and purulent fluid in her peritoneal cavity.
Bilateral pleuritis was also noted after the operation, which was suspected to be caused by chemical irritation of the spilled contents of the teratoma.
The patient’s condition improved after surgical treatment and was discharged 28 days after admission.
Conclusion.
Our case showed that the timing of peritoneal irritation caused by teratoma rupture converting to severe chemical peritonitis was approximately 3 weeks.
Physicians should avoid cyst puncture during TVOR and closely observe or even perform surgical treatment when iatrogenic teratoma ruptures are suspected.
American Psychological Association (APA)
Wang, Pei-Yi& Chang, Yi-En& Lee, Yu-Chieh& Tzeng, Chii Ruey. 2018. Iatrogenic Teratoma Rupture during TVOR Complicated with Peritonitis, Pleuritis, and Septic Shock. Case Reports in Obstetrics and Gynecology،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1145677
Modern Language Association (MLA)
Wang, Pei-Yi…[et al.]. Iatrogenic Teratoma Rupture during TVOR Complicated with Peritonitis, Pleuritis, and Septic Shock. Case Reports in Obstetrics and Gynecology No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1145677
American Medical Association (AMA)
Wang, Pei-Yi& Chang, Yi-En& Lee, Yu-Chieh& Tzeng, Chii Ruey. Iatrogenic Teratoma Rupture during TVOR Complicated with Peritonitis, Pleuritis, and Septic Shock. Case Reports in Obstetrics and Gynecology. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1145677
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145677