Granulomatous peritonitis caused by iatrogenic spillage of ovarian dermoid cystectomy: a case report and literature review
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A 39-year-old nulliparous woman experienced continuous mild fever and abdominal pain since undergoinglaparoscopic ovarian dermoid cystectomy 3 months previously in a local hospital. Abdominal computed tomographyrevealed diffuse heterogeneous fat infiltrations with numerous micronodules in the greater and lesser omentum,combined with ascites with thickening of the parietal peritoneum. The patient underwent exploratory laparoscopy,which included partial pelvic peritonectomy, excision of granulomas, and adhesiolysis with massive irrigation. Thepatient was treated successfully with laparoscopic surgery and all reproductive structures were spared withoutoperative complications. To avoid peritonitis, complete removal of cyst contents and massive irrigation should beperformed during ovarian dermoid cystectomy. Conservative surgical treatment may be a good choice for treatinggranulomatous peritonitis induced by iatrogenic rupture.
Abstract
A 39-year-old nulliparous woman experienced continuous mild fever and abdominal pain since undergoinglaparoscopic ovarian dermoid cystectomy 3 months previously in a local hospital. Abdominal computed tomographyrevealed diffuse heterogeneous fat infiltrations with numerous micronodules in the greater and lesser omentum,combined with ascites with thickening of the parietal peritoneum. The patient underwent exploratory laparoscopy,which included partial pelvic peritonectomy, excision of granulomas, and adhesiolysis with massive irrigation. Thepatient was treated successfully with laparoscopic surgery and all reproductive structures were spared withoutoperative complications. To avoid peritonitis, complete removal of cyst contents and massive irrigation should beperformed during ovarian dermoid cystectomy. Conservative surgical treatment may be a good choice for treatinggranulomatous peritonitis induced by iatrogenic rupture.
참고문헌 (13)
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