A giant gas-filled abdominal mass in an elderly female：A case report

We report an extremely rare case of gas-filled abdominal mass caused by an ovarian teratoma fistulating to the sigmoid colon The patient was an 85-year-old female,who presented with severe abdominal distension Urgent computed tomography scan showed a huge abdominal mass with air fluid level and feca...

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Bibliographic Details
Published in:	World journal of gastroenterology : WJG Vol. 17; no. 31; pp. 3659 - 3662
Main Authors:	Chong, Hoi Man Deon, Lee, Fung Yee Janet, Lo, Anthony, Li, Chak Man Jimmy
Format:	Journal Article
Language:	English
Published:	United States Baishideng Publishing Group Co., Limited 21-08-2011
Subjects:	Abdominal Cavity - pathology Aged, 80 and over Brief Carcinoma, Squamous Cell - pathology Colon, Sigmoid - pathology Colonic Neoplasms - pathology Colonic Neoplasms - secondary Diagnosis, Differential Female Fistula - pathology Gases - adverse effects Humans Ovarian Neoplasms - pathology Teratoma - pathology 填充女性断层扫描气体病例报告老年腹部鳞状细胞癌 Mature cystic teratoma Squamous cell carcinoma Fistula
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Summary:	We report an extremely rare case of gas-filled abdominal mass caused by an ovarian teratoma fistulating to the sigmoid colon The patient was an 85-year-old female,who presented with severe abdominal distension Urgent computed tomography scan showed a huge abdominal mass with air fluid level and fecal matter inside Communication between the mass and the sigmoid colon was suspected She underwent emergency laparotomy The mass was resected with the involved segment of colon Pathology confirmed squamous cell carcinoma arising from mature cystic teratoma of the ovary.
Bibliography:	We report an extremely rare case of gas-filled abdominal mass caused by an ovarian teratoma fistulating to the sigmoid colon The patient was an 85-year-old female,who presented with severe abdominal distension Urgent computed tomography scan showed a huge abdominal mass with air fluid level and fecal matter inside Communication between the mass and the sigmoid colon was suspected She underwent emergency laparotomy The mass was resected with the involved segment of colon Pathology confirmed squamous cell carcinoma arising from mature cystic teratoma of the ovary. 14-1219/R Mature cystic teratoma; Fistula; Squamous cell carcinoma Author contributions: Chong HMD and Lee FYJ wrote the manuscript; Li CMJ performed literature search; Lo A reviewed the incidence of malignant transformation of ovarian teratoma in our hospital. Correspondence to: Dr. Fung Yee Janet Lee, MD, Department of Surgery, Prince of Wales Hospital, 30-32 Ngan Shing Street, Shatin, Hong Kong, China. janetlee@cuhk.edu.hk Telephone: +852-26321381 Fax: +852-26377974
ISSN:	1007-9327 2219-2840
DOI:	10.3748/wjg.v17.i31.3659