Journal article
Laparoscopic Management of Chemical Peritonitis Caused by Dermoid Cyst Spillage
Journal of the Society of Laparoendoscopic Surgeons, Vol.15(3), pp.403-405
07/01/2011
DOI: 10.4293/108680811X13125733356990
PMCID: PMC3183542
PMID: 21985734
Abstract
Background: Dermoid cyst is the most frequent benign ovarian tumor. Spillage of cyst contents during surgery is common and can rarely lead to chemical peritonitis.
Case Report: A patient presented 3 days after attempted laparoscopic removal of bilateral dermoid cysts. On examination, she had a low-grade fever, rebound tenderness with guarding, and a markedly elevated white blood cell count. A decision was made to proceed with laparoscopy with the presumptive diagnosis of chemical peritonitis. Laparoscopic findings included residual dermoid cyst contents and extensive filmy adhesions of the bowel and omentum to the peritoneal surface. The chemical peritonitis resolved after laparoscopic removal of residual dermoid cyst content including bilateral salpingo-oophorectomy and copious irrigation.
Conclusion: Early recognition and prompt treatment by repeat laparoscopic surgery with removal of the remaining cyst contents and peritoneal lavage can be a successful method for treating chemical peritonitis.
Details
- Title: Subtitle
- Laparoscopic Management of Chemical Peritonitis Caused by Dermoid Cyst Spillage
- Creators
- Alireza A. Shamshirsaz - Univ Iowa Hosp & Clin, Dept Obstet & Gynecol, Iowa City, IA 52242 USAAmirhoushang A. Shamshirsaz - Univ Calif Los Angeles, Dept Obstet & Gynecol, Los Angeles, CA 90024 USAJill L. Vibhakar - Univ Iowa Hosp & Clin, Dept Obstet & Gynecol, Iowa City, IA 52242 USAChristina Broadwell - Univ Vermont, Coll Med, Dept Obstet & Gynecol, Burlington, VT 05405 USABradley J. Van Voorhis - University of Iowa, Obstetrics and Gynecology
- Resource Type
- Journal article
- Publication Details
- Journal of the Society of Laparoendoscopic Surgeons, Vol.15(3), pp.403-405
- DOI
- 10.4293/108680811X13125733356990
- PMID
- 21985734
- PMCID
- PMC3183542
- NLM abbreviation
- JSLS
- ISSN
- 1086-8089
- eISSN
- 1938-3797
- Publisher
- Soc Laparoendoscopic Surgeons
- Number of pages
- 3
- Language
- English
- Date published
- 07/01/2011
- Academic Unit
- Obstetrics and Gynecology
- Record Identifier
- 9983557452602771
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