Peritonite chimique apres rupture iatrogene d'un kyste dermoide de l'ovaire traite par coelioscopie. A propos d'un cas et revue de la litterature. [Chemical peritonitis after iatrogenic rupture of a dermoid cyst of the ovary treated by coelioscopy. Apropos of a case and review of the literature]

Détails

ID Serval
serval:BIB_5CE48F611F7A
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Peritonite chimique apres rupture iatrogene d'un kyste dermoide de l'ovaire traite par coelioscopie. A propos d'un cas et revue de la litterature. [Chemical peritonitis after iatrogenic rupture of a dermoid cyst of the ovary treated by coelioscopy. Apropos of a case and review of the literature]
Périodique
Gynakologisch-Geburtshilfliche Rundschau
Auteur(s)
Achtari  C., Genolet  P. M., Bouzourene  H., De Grandi  P.
ISSN
1018-8843 (Print)
Statut éditorial
Publié
Date de publication
1998
Volume
38
Numéro
3
Pages
146-50
Notes
Case Reports
English Abstract
Journal Article
Résumé
Dermoid cyst is the most frequent benign ovarian tumor. Its intraperitoneal rupture may lead to a peritoneal reaction known as chemical peritonitis. It is a rare but a potentially dangerous issue. Its treatment may need one or more reoperations. We report here the case of a patient operated on in emergency for a torsion of an ovarian dermoid cyst, with peritoneal spillage of its content during coeliosurgery. The prolonged contact between the sebaceous material and the peritoneum has led to a chemical peritonitis. Two more laparoscopic interventions, associated with a systemic anti-inflammatory treatment, were necessary to relieve symptoms. We propose the following attitude to avoid this complication: (1) puncture and drainage of the cyst with a trocar; (2) extraction of the cyst in an endobag, and (3) abundant washout of the peritoneal cavity.
Mots-clé
Adult Dermoid Cyst/pathology/*surgery Female Humans Iatrogenic Disease *Laparoscopy Ovarian Neoplasms/pathology/*surgery Peritonitis/*etiology/pathology/surgery Postoperative Complications/*etiology/pathology/surgery Reoperation Rupture Torsion/surgery
Pubmed
Web of science
Création de la notice
25/01/2008 16:39
Dernière modification de la notice
20/08/2019 15:15
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