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Laparoscopic Management of a Large Ovarian Cyst Twist in a 14-Year Old Young Girl in Emergency: A Case Report

Open Journal of Obstetrics and Gynecology 2022年第12期12卷 1328-1333页

作者： Michèle Florence Mendoua Serge Nyada Basile Essola marcel Gérardin mbarga Dominique Noah Noah Department of Gynaecology-Obstetrics Faculty of Medicine and Biomedical Sciences University of Yaounde 1 Yaounde Cameroon Department of Surgery Faculty of Medicine and Pharmaceutical Sciences University of Douala Douala Cameroon Département de Radiology and Medical Imaging Faculty of Medicine and Pharmaceutical Sciences University of Douala Douala Cameroon Department of Clinical Sciences Faculty of Medicine and Pharmaceutical Sciences University of Douala Douala Cameroon

The diagnosis and the treatment of twisted ovarian tumors are still challenging, especially in adolescent girls. We describe an adolescent girl with a twisted ovarian cyst, in whom emergent laparoscopic surgery was successful. She visited us due to severe abdominal pain. Ultrasound revealed a large cystic mass, indicative of an ovarian cyst. Laparoscopy revealed a large left ovarian cyst twisted on its axis. We punctured the cyst and detorsed it. The lessons learned here are: sudden-onset abdominal pain of adolescent associated with nausea and vomiting is strongly suggestive of a ovarian cyst torsion;ultrasound should be performed immediately, if ovarian cyst torsion is suspected, timely intervention with diagnostic laparoscopy is indicated, a minimally invasive surgical approach is recommended to preserve the adnexal structures and ovarian function.

关键词： Torsion Ovarian Cyst Teenager Laparoscopy

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Duplication of the Inferior Vena Cava, Azygos Continuation and Retro Aortic Renal Vein: Fortuitous Discovery

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Forensic Medicine and Anatomy Research 2021年第3期9卷 31-40页

作者： Géraud Léra Akpo Ndeye Bigué Mar Soukeyna Abouabdillah Nfaly Badji Hamidou Deme Youssoupha Kasse Ibrahima Niang Mamadou Lamine Gueye marcel mbarga Ibrahima Faye Abdoulaye Dione Diop Assane Ndiaye Sokhna Ba Diop El Hadji Niang Service de Radiologie Imagerie Médicale de l’h&#244pital Ariste Le Dantec Dakar Sénégal Laboratoire d’Anatomie UFR des Sciences de la Santé Université Iba Der Thiam de Thiès Thiès Sénégal Service de Radiologie Imagerie Médicale de l’h&#244pital Fann Dakar Sénégal Service de Radiologie Imagerie Médicale de l’h&#244pital Dalal Jam Dakar Sénégal Laboratoire d’Anatomie UFR des Sciences de la Santé Université Assane SECK de Ziguinchor Ziguinchor Sénégal

We present a rare case associating inferior vena cava’s (IVC) complex variations. Anatomical, embryological and clinical aspects are discussed. Duplication’s discovery was fortuitous during an abdominal ultrasound and was confirmed by the CT scan. The latter also highlighted azygos continuation, retro aortic renal vein and an iliac venous anomaly. These variants are important to know in order to be able to differentiate them from lymphadenopathy, para-vertebral masses, and aortic pathologies. It is necessary to report them before any retroperitoneal surgery or interventional vascular procedure.

关键词： Duplication IVC Continuation Azygos Tomodensitometry

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