Fertility and sterility · 2010
Successful management of a ruptured endometrial cyst in acute leukemia.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Taguchi Ayumi, Koga Kaori, Osuga Yutaka, Fujimoto Akihisa, Miyasaka Aki, Yano Tetsu, Kurokawa Minieo, Taketani Yuji
Аннотация
OBJECTIVE: To report a case of acute abdomen due to rupture of ovarian endometrial cysts, manifested as a first symptom of acute leukemia.
DESIGN: Case report.
SETTING: University hospital.
PATIENT(S): A 28-year-old Japanese woman with acute abdomen.
INTERVENTION(S): A diagnosis of rupture of endometrial cysts was made by ultrasonography and magnetic resonance imaging. A diagnosis of acute myeloid leukemia (FAB M5a subtype) was made by bone marrow aspiration.
MAIN OUTCOME MEASURE(S): Remission-induction chemotherapy for leukemia was initiated. Meanwhile, endometrial cysts were managed expectantly. Once complete remission was achieved, laparoscopic surgery was attempted to remove ovarian cysts and abdominal fluid.
RESULT(S): Patients tolerated laparoscopy with favorable postoperative course. Consolidation chemotherapy commenced without substantial delay.
CONCLUSION(S): Accurate diagnosis, optimal timing of surgery, and minimally invasive surgery with laparoscopy enabled us to manage this high-risk case to a favorable outcome.
DESIGN: Case report.
SETTING: University hospital.
PATIENT(S): A 28-year-old Japanese woman with acute abdomen.
INTERVENTION(S): A diagnosis of rupture of endometrial cysts was made by ultrasonography and magnetic resonance imaging. A diagnosis of acute myeloid leukemia (FAB M5a subtype) was made by bone marrow aspiration.
MAIN OUTCOME MEASURE(S): Remission-induction chemotherapy for leukemia was initiated. Meanwhile, endometrial cysts were managed expectantly. Once complete remission was achieved, laparoscopic surgery was attempted to remove ovarian cysts and abdominal fluid.
RESULT(S): Patients tolerated laparoscopy with favorable postoperative course. Consolidation chemotherapy commenced without substantial delay.
CONCLUSION(S): Accurate diagnosis, optimal timing of surgery, and minimally invasive surgery with laparoscopy enabled us to manage this high-risk case to a favorable outcome.