난소의 자가절단에 기인한 대망의 유피낭 1예
A case of omental dermoid cyst due to an ovarian autoamputation
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유피낭은 난소에서 가장 흔히 발생하고, 대망에서는 극히 드물게 발견된다. 저자들은 수술 전 우측 난소 낭종으로 오인되었던 대망의 유피낭 1예를 보고하는 바이다. 환자는 27세 여성으로 직장자궁오목에 위치한 부분적으로 대망에 의해 둘러싸인 6 cm 크기의 유피낭을 가지고 있었고, 종괴는 복강경 수술로절제되었다. 종괴는 병리학적으로 유피낭으로 진단되었고, 환자는 우측 난소와 나팔관이 없었다. 이러한 소견들은 유피낭을 가진 난소의 자가절단 가능성을 시사한다.
Abstract
The dermoid cysts occur most frequently in the ovary and are extremely rare in the greater omentum. We report a case of dermoid cyst of the greater omentum misdiagnosed as right ovarian cyst. She was a 27-year-old woman with an omental dermoid cyst of 6 cm in diameter in the cul-de-sac, and the tumor was resected laparoscopically. The histopathologic diagnosis was dermoid cyst and no evidence of malignancy was noted. The patient had no right ovary and tube. These findings demonstrated possible autoamputation of an ovary with dermoid cyst.
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