A Case of Ovarian Hemorrhage in a Child

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  • 特発性卵巣出血の1例

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A 14-year-old girl was admitted with right lower abdominal pain. At first, acute appendicitis was suspected, but abdominal ultrasonography revealed an unhomogenous iutraabdoniinal tumor and fluid collection. Based on the findings of ultrasonography, CT scan, MRI and the clinical history, we thought it to be ovarian hemorrhage. So, initially she received conservative treatment. On the 4th hospital day, because of ongoing anemia we did laparotomy. The right ovarian hematoma was ruptured and the intra abdominal blood volume was about 300ml. Wedge excision of the right ovarian hcmatoma was performed. Ovarian hemorrhage is thought not to be so rare in grown-up women, but in a review of the Japanese literature only 12 cases of adolescent girls under 15 years old including our case are reported.

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