engleski

Ovarian dysgerminoma and acute abdomen

Background: Ovarian dysgerminoma cases are very rarely presented together with acute abdomen. The purpose of this study is to poresent dysgerminoma ovarii with abdominal pain in lower right abdominal part after abdominal trauma as an abdominal emergency. Patients and methods: Our 12-year old female patient was admitted to our hospital after traffic accident with abdominal trauma. On physical examination the abdomen was acute and the mass in lower abdomen was palpated. Ultrasound and CT axaminations showed the presence of large, multilobulated and predominantly solid pelvic mass. Fluid was found in the lower part of pelvis. Immediate exploratory laparatomy was performed. It exposed a superficial activity bnleeding tumour vessel. We stopped the bleeding and did a biopsy of the tumour because it was too big for surgical treatment. Conclusion: Ovarian dysgerminoma shoul be part of the differential diagnosis in female children with acute surgical abdomen when a solid mass is detected by ultrasonographic scan.

Ovarian dysgerminoma ; acute abdomen

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