scholarly journals A case of preoperatively-predicted extragonadal mature cystic teratoma in the pouch of Douglas resected via laparoscopic surgery.

2017 ◽  
Vol 33 (2) ◽  
pp. 282-287
Author(s):  
Jumpei Ogura ◽  
Koji Yamanoi ◽  
Takahiro Hirayama ◽  
Koji Yasumoto ◽  
Koh Suginami
2009 ◽  
Vol 25 (1) ◽  
pp. 233-235
Author(s):  
Hirohiko Tanaka ◽  
Masako Ito ◽  
Kayo Yoshida ◽  
Tetsuo Asakura ◽  
Haruki Taniguchi

2012 ◽  
Vol 28 (2) ◽  
pp. 556-560
Author(s):  
Ken-ichi Goya ◽  
Toshinari Muramatsu ◽  
Hidetoshi Kanno ◽  
Hiroki Ishii ◽  
Yoshihiro Nishijima ◽  
...  

2014 ◽  
Vol 30 (1) ◽  
pp. 236-239
Author(s):  
Yuki Yamazaki ◽  
Yoshihiro Yamakawa ◽  
Michiyo Ushijima ◽  
Hiroki Waki ◽  
Kiyoshi Katou

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Haruhiko Kanasaki ◽  
Aki Oride ◽  
Kohji Miyazaki

Objectives. The study was conducted to characterize the use of the laparoscopic surgery in elderly patients. Methods. The medical records of elderly patients aged ≥65 years who underwent laparoscopic surgery were retrospectively reviewed for diseases, surgical procedures, histological diagnosis, intraoperative and postoperative complications, and reasons for presentation. Results. Of the 405 patients who underwent laparoscopic surgery between January 2005 and March 2012, 41 (10.1%) were aged ≥65 years. The most common disease treated by surgery was ovarian tumor, followed by uterine prolapse. Histological diagnosis of ovarian tumor specimens obtained from 23 patients included serous cystadenoma (44.0%), mature cystic teratoma (20.0%), mucinous cystadenoma (20.0%), and endometrioma (4%). In contrast, in the non-elderly group, the most common histological diagnosis was endometrioma (42.9%), followed in order by mature cystic teratoma (28.3%), serous cystadenoma (18.0%), and mucinous cystadenoma (4.7%). While 23.7% of the non-elderly patients required emergency laparoscopic surgery, none of the elderly patients required emergency surgery. Only 1 of 27 patients who underwent surgery for an ovarian or adnexal mass presented with abdominal pain. No one developed serious intraoperative or postoperative complications. Conclusion. Laparoscopic surgery can be safely performed in elderly patients. It should be noted, however, that few elderly patients with benign pelvic mass manifest symptoms before undergoing surgery.


2013 ◽  
Vol 2 (4) ◽  
pp. 251-254
Author(s):  
Jun-ichi Akahira ◽  
Mareyuki Endo ◽  
Ryoji Chiba ◽  
Koji Tanoguchi ◽  
Jun-ichiro Yamauchi ◽  
...  

Author(s):  
Luay Abu Atileh ◽  
Nouf Khalifeh

Abstract Objectives: To identify the underlying etiology of dermoid cysts in the pouch of Douglas. Case presentation: A 44-year-old woman presented to our clinic complaining of chronic, dull-aching lower abdominal pain of one-month duration. Pelvic ultrasound examination showed an eight-centimeter cystic appearing lesion in the right adnexa. Computed tomography (CT) suggested the diagnosis of dermoid cyst. Laparoscopy revealed a residual ovarian tissue on the right side and an eight-centimeter cystic mass occupying the pouch of Douglas. The entire specimen was removed en bloc through the umbilicus incision inside a bag with no spillage. Histopathologic examination confirmed the diagnosis of a mature cystic teratoma. Conclusion: Parasitic dermoid cysts are extremely rare entity especially those located in the pouch of Douglas. Autoamputation and reimplantation is the most accepted etiology to explain this phenomenon.   Key-words: Autoamputation, dermoid cyst, Douglas, Laparoscopy, Mature cystic teratoma  


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