Rupture during pregnancy in 1 case of ovarian mature teratoma.docVIP

 PAGE \* MERGEFORMAT 4 Rupture during pregnancy in 1 case of ovarian mature teratoma Of: Xubao Lan, Ge Yuwen, Zhang Chuanrong [Keywords:] pregnancy; ovary; mature teratoma; rupture A medical record Patients, 28 years old, 39 weeks pregnant due on April 3, 2009 admitted to be produced. Maternal past menstrual regularity, LMP 2008 年 7 月 3 日, G1P 0. A sense of the first 4 months pregnant fetal movement. Trimester prenatal is not the system check the readme 7 months pregnant abdominal pain due to sudden miscarriage treatment in a municipal hospital to reduce abdominal pain, was discharged after 1 week. admission examination: T 36.5 ℃, Bp 120/80 mm Hg, abdomen soft, no tenderness, rebound pain. obstetric examination: house high 29 cm, abdominal circumference 88 cm, no contractions, fetal heart rate 140 beats / min. urine routine, liver and kidney function were normal. ultrasonography said: biparietal diameter 92 mm, femur length 70 mm, the placenta Ⅱ level of maturity, amniotic fluid index 81 mm, the first place. hospitalized pregnant women and their families should be asked for cesarean section, intraoperative peritoneal see congestion, edema, thickening, open the peritoneum pale yellow liquid out of about 700 ml. uterus the surface of red and purple with a blue plaque sheet, loss of normal serosal tissue structure. uterine segment transverse incision delivery of a baby girl, Apgar assessment of 10 points, the posterior wall of the uterus and bowel exploration see extensive adhesions, loss of normal right ovary broad ligament intestinal morphology and adhesion, and see fat-like objects scattered on the left side surface congestion and edema. uterus back and clear the hair of about 30 g and fat tissue sent to pathology. consider the right side of the ovarian teratoma has been broken. surgery using metronidazole repeated washing salt off after abdominal abdominal surgery well. pathology: (1) right side of the follicle follicular cysts; (2) mature hair. an