儿童卵巢畸胎瘤蒂扭转1例并文献复习

One Case of Torsion of Ovarian Teratoma Pedicle in Children and Literature Review

摘要: 目的：总结1例卵巢畸胎瘤蒂扭转患儿的临床特点及诊疗经过，提高对该疾病的认识。方法：回顾性分析2024年7月山东大学附属威海市立医院儿科收治的1例卵巢畸胎瘤蒂扭转患儿的临床特点及诊疗经过，并进行相关文献复习。结果：患儿以下腹痛、呕吐及低热为临床表现，在诊断为急性胃肠炎后予禁饮食、补液及止吐治疗，腹痛不缓解。完善腹部超声检查考虑畸胎瘤，急症行腹腔镜双侧卵巢肿瘤剥除术，最终诊断卵巢畸胎瘤蒂扭转。结论：对于下腹痛的女性儿童，需注意卵巢畸胎瘤可能，及时借助腹部超声检查明确诊断，避免误诊及漏诊对患儿造成不可逆的损害。

Abstract: Objective: To summarize the clinical characteristics and treatment outcome of 1 cases of torsion of ovarian teratoma pedicle in children so as to improve clinician’s awareness of the disease. Methods: Retrospective analysis of the clinical characteristics and diagnosis and treatment process of a child with torsion of ovarian teratoma pedicle admitted to the pediatrics department of Weihai Municipal Hospital affiliated with Shandong University in January 2024, and relevant literature review. Results: The clinical manifestations of the child are abdominal pain, vomiting, and low-grade fever. After being diagnosed with acute gastroenteritis, the child is treated with dietary restriction, fluid replacement, and antiemetic therapy, but the abdominal pain does not improve. Complete abdominal ultrasound examination to consider teratoma, emergency laparoscopic bilateral ovarian tumor resection surgery was performed, and the final diagnosis was ovarian teratoma torsion. Conclusions: For female children with lower abdominal pain, attention should be paid to the possibility of ovarian teratoma, and timely diagnosis should be confirmed through abdominal ultrasound examination to avoid misdiagnosis and missed diagnosis, which may cause irreversible damage to the child.