A Case of Laparoscopic Surgery for Synchronous Phlegmonous Appendicitis and Right Ovarian Tumor

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  • MURAMOTO Tsutomu
    Department of Obstetrics and Gynecology, Showa University Fujigaoka Hospital
  • OKADA Akane
    Department of Obstetrics and Gynecology, Showa University Fujigaoka Hospital
  • MUKAI Yuki
    Department of Obstetrics and Gynecology, Showa University Fujigaoka Hospital
  • KOIKE Ryo
    Department of Obstetrics and Gynecology, Showa University Fujigaoka Hospital
  • IKEMOTO Mai
    Department of Obstetrics and Gynecology, Showa University Fujigaoka Hospital
  • YOSHIIZUMI Eri
    Department of Obstetrics and Gynecology, Showa University Fujigaoka Hospital
  • FUKUTANI Riho
    Department of Obstetrics and Gynecology, Showa University Fujigaoka Hospital
  • OKAZAKI Mizuho
    Department of Obstetrics and Gynecology, Showa University Fujigaoka Hospital
  • YAMASHITA Yuka
    Department of Obstetrics and Gynecology, Showa University Fujigaoka Hospital
  • TAKENAKA Shin
    Department of Obstetrics and Gynecology, Showa University Fujigaoka Hospital
  • HAMADA Shoko
    Department of Obstetrics and Gynecology, Showa University Fujigaoka Hospital
  • NAKAYAMA Ken
    Department of Obstetrics and Gynecology, Showa University Fujigaoka Hospital
  • SASAKI Yasushi
    Department of Obstetrics and Gynecology, Showa University Fujigaoka Hospital
  • MORIOKA Miki
    Department of Obstetrics and Gynecology, Showa University Fujigaoka Hospital
  • OGAWA Koichi
    Department of Obstetrics and Gynecology, Showa University Fujigaoka Hospital
  • WAKABAYASHI Tetsuji
    Department of General and Gastroenterological Surgery, Showa University Fujigaoka Hospital
  • DATE Hiromi
    Department of General and Gastroenterological Surgery, Showa University Fujigaoka Hospital
  • NOROSE Tomoko
    Department of Pathology, Showa University Fujigaoka Hospital
  • OHIKE Nobuyuki
    Department of Pathology, Showa University Fujigaoka Hospital

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Other Title
  • 蜂窩織炎性虫垂炎に併存した右卵巣腫瘍に対し腹腔鏡下同時手術を施行した1例
  • 症例報告 蜂窩織炎性虫垂炎に併存した右卵巣腫瘍に対し腹腔鏡下同時手術を施行した1例
  • ショウレイ ホウコク ホウカシキエンセイ チュウスイエン ニ ヘイソン シタ ミギ ランソウ シュヨウ ニ タイシ フククウキョウ カ ドウジ シュジュツ オ シコウ シタ 1レイ

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Description

A 43-year-old woman was admitted to our hospital because of a diagnosis of acute abdominal pain. Chronic appendicitis recurred with repeated acute appendicitis; also due to a right ovarian tumor, a laparoscopic one-stage resection of synchronous chronic appendicitis and right ovarian tumor was scheduled. In this case conservative treatment with antibiotic is more likely to cause repeat appendicitis within a short period of time, and inflammation of appendicitis could cause ovarian abscess in the ovary and ovarian tumor. A simultaneous laparoscopic surgery was considered possible based on the close proximity of the right ovary and the appendix, and the surgery was undertaken. Laparoscopic appendectomy and salpingo-oophorectomy of right ovary were performed and postoperative course did not show any problems. Phlegmonous appendicitis may progress to gangrenous appendicitis or perforated appendicitis. Due to the short distance between the ovary and the appendix, the ovary may form an ovarian abscess if inflammation of the appendicitis spreads to the ovary. It is possible to perform appendectomy and salpingo-oophorectomy within the same surgical field. However, when treating the complication of synchronous phlegmonous appendicitis and ovarian tumor, a laparoscopic one-stage resection in cooperation with surgeons should be considered due to the risk of inflammation spreading from the appendicitis.

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