Article: article from journal or magazin.
Case report (case report): feedback on an observation with a short commentary.
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]
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.
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
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