Open AccessA giant gas-filled abdominal mass in an elderly female: A case report
Author(s) -
Hoi Man Deon Chong,
Fung Yee Janet Lee,
Anthony W.I. Lo,
Chak Man Jimmy Li
Publication year - 2011
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v17.i31.3659
Subject(s) - sigmoid colon , abdominal distension , medicine , laparotomy , abdominal mass , teratoma , ovary , abdomen , radiology , surgery , rectum
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.