ABSTRACT
Introducción: Está demostrada la importancia de la cirugía de mínimo acceso en las urgencias pediátricas a cualquier edad, por lo que constituye el enfoque actual tanto diagnóstico como terapéutico. Objetivo: Resaltar la utilidad de la laparoscopia para la cirugía de urgencia en las adolescentes. Presentación de casos: Tres adolescentes femeninas entre 14 y 18 años de edad, intervenidas por abdomen agudo quirúrgico por vía laparoscópica, se encontraron los siguientes hallazgos: Paciente 1: hemoperitoneo por quiste de cuerpo lúteo de ovario izquierdo, tratamiento por cirugía de mínimo acceso. Paciente 2: apendicitis aguda no complicada y quiste simple de ovario izquierdo no complicado, tratado por cirugía de mínimo acceso y la apendicectomía asistida. Paciente 3: torsión de quiste paraovárico de la trompa de Falopio derecha, tratamiento convencional a través de una minilaparotomía. Conclusiones: La laparoscopia de urgencia en estas adolescentes le facilitó al cirujano pediátrico un diagnóstico certero, con hallazgos ginecológicos transoperatorio y tratamiento quirúrgico variado a través de una cirugía mínimamente invasiva con múltiples ventajas para las pacientes(AU)
Introduction: The importance of minimal access surgery in pediatric emergencies at any age has been demonstrated, being the current diagnostic and therapeutic approach. Objective: To highlight the utility of laparoscopy for emergency surgery in adolescents. Case presentation: Three female adolescents between 14 and 18 years of age underwent laparoscopic surgery for acute abdomen. The main findings were: Patient 1: Hemoperitoneum due to corpus luteum of the left ovary, treated by minimal access surgery. Patient 2: Acute uncomplicated appendicitis and simple uncomplicated left ovary cyst, treated by minimal access surgery and assisted appendectomy. Patient 3: Torsion of the paraovarian cyst of the right fallopian tube, treated by conventional minilaparotomy. Conclusions: Emergency laparoscopy in these adolescents provided the pediatric surgeon an accurate diagnosis with intraoperative gynecological findings and varied surgical treatment through minimally invasive surgery, with multiple advantages for patients(AU)
Subject(s)
Humans , Female , Adolescent , Minimally Invasive Surgical Procedures , Emergencies , Laparoscopy/methodsABSTRACT
Paraovarian cysts arise in the mesosalpinx, between the ovarian hilum and the fallopian tube. Clinical significance of paraovarian tumors is considerably less frequent than ovarian tumors, and malignant paraovarian lesions are exceedingly rare. Paraovarian carcinomas or borderline malignancy mostly occur in young women. Abdominal enlargement and pelvic pain are the usual complaints. Usually they have a capsule, are unilateral and are connected to the broad ligament. Little is known about the biological behavior of the paraovarian borderline malignancies, since these lesions are so rare. The appropriate therapy for this unusual lesion have not been fully defined. We had experienced a case of papillary serous adenocarcinoma of borderline malignancy and report this case with a brief review of literature.