Pseudoascitis by giant ovaric cyst
The term pseudoascitis is used in patients who give the false impression of ascites, with abdominal distension but without peritoneal free fluid. The case of a 66-year-old woman, hypertensive and hypothyroid with occasional alcohol consumption, who consults due to progressive abdominal distension of...
| Autores principales: | , , , , , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2023
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/27848 |
| Aporte de: |
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I10-R327-article-27848 |
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ojs |
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Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
ascites ovarian cysts diagnostic errors ascitis quistes ováricos errores diagnósticos ascite cistos ovarianos erros de diagnóstico |
| spellingShingle |
ascites ovarian cysts diagnostic errors ascitis quistes ováricos errores diagnósticos ascite cistos ovarianos erros de diagnóstico Moretti, Dino Garay Contreras, Maria Belen Talamona, Matias Miguel Quiñones, Nadia Daniela Rossi, Francisco Esteban Laudanno, Carlos Dario Scolari Pasinato, Carlos Mariano Buncuga, Martin Gonzalo Pseudoascitis by giant ovaric cyst |
| topic_facet |
ascites ovarian cysts diagnostic errors ascitis quistes ováricos errores diagnósticos ascite cistos ovarianos erros de diagnóstico |
| author |
Moretti, Dino Garay Contreras, Maria Belen Talamona, Matias Miguel Quiñones, Nadia Daniela Rossi, Francisco Esteban Laudanno, Carlos Dario Scolari Pasinato, Carlos Mariano Buncuga, Martin Gonzalo |
| author_facet |
Moretti, Dino Garay Contreras, Maria Belen Talamona, Matias Miguel Quiñones, Nadia Daniela Rossi, Francisco Esteban Laudanno, Carlos Dario Scolari Pasinato, Carlos Mariano Buncuga, Martin Gonzalo |
| author_sort |
Moretti, Dino |
| title |
Pseudoascitis by giant ovaric cyst |
| title_short |
Pseudoascitis by giant ovaric cyst |
| title_full |
Pseudoascitis by giant ovaric cyst |
| title_fullStr |
Pseudoascitis by giant ovaric cyst |
| title_full_unstemmed |
Pseudoascitis by giant ovaric cyst |
| title_sort |
pseudoascitis by giant ovaric cyst |
| description |
The term pseudoascitis is used in patients who give the false impression of ascites, with abdominal distension but without peritoneal free fluid. The case of a 66-year-old woman, hypertensive and hypothyroid with occasional alcohol consumption, who consults due to progressive abdominal distension of 6 months of evolution and diffuse percussion dullness is presented, in whom a paracentesis is performed with the wrong endorsement of examination ultrasound that reports abundant intrabdominal free fluid (Fig. 1), later finding in the CT scan of the abdomen and pelvis an expansive process of cystic appearance of 295mm x 208mm x 250mm. Left anexectomy is programmed (Fig. 2) with pathological report of mucinous ovarian cystadenoma. The case report refers to the availability of the giant ovarian cyst within the differential diagnosis of ascites. If no symptoms or obvious signs of liver, kidney, heart or malignant disease are found and / or ultrasound does not reveal typical signs of intra-abdominal free fluid (fluid in the bottom of the Morrison or Douglas sac, presence of floating free intestinal handles), a CT scan and / or an RMI should be requested before performing paracentesis, which could have potentially serious consequences. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2023 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/27848 |
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I10-R327-article-278482024-08-27T18:27:45Z Pseudoascitis by giant ovaric cyst Pseudoascitis por quiste ovárico gigante Pseudoascite do cisto ovariano gigante Moretti, Dino Garay Contreras, Maria Belen Talamona, Matias Miguel Quiñones, Nadia Daniela Rossi, Francisco Esteban Laudanno, Carlos Dario Scolari Pasinato, Carlos Mariano Buncuga, Martin Gonzalo ascites ovarian cysts diagnostic errors ascitis quistes ováricos errores diagnósticos ascite cistos ovarianos erros de diagnóstico The term pseudoascitis is used in patients who give the false impression of ascites, with abdominal distension but without peritoneal free fluid. The case of a 66-year-old woman, hypertensive and hypothyroid with occasional alcohol consumption, who consults due to progressive abdominal distension of 6 months of evolution and diffuse percussion dullness is presented, in whom a paracentesis is performed with the wrong endorsement of examination ultrasound that reports abundant intrabdominal free fluid (Fig. 1), later finding in the CT scan of the abdomen and pelvis an expansive process of cystic appearance of 295mm x 208mm x 250mm. Left anexectomy is programmed (Fig. 2) with pathological report of mucinous ovarian cystadenoma. The case report refers to the availability of the giant ovarian cyst within the differential diagnosis of ascites. If no symptoms or obvious signs of liver, kidney, heart or malignant disease are found and / or ultrasound does not reveal typical signs of intra-abdominal free fluid (fluid in the bottom of the Morrison or Douglas sac, presence of floating free intestinal handles), a CT scan and / or an RMI should be requested before performing paracentesis, which could have potentially serious consequences. El término pseudoascitis, se utiliza en los pacientes que dan la falsa impresión de ascitis, con distensión abdominal pero sin líquido libre peritoneal. Se presenta el caso de una mujer de 66 años, hipertensa e hipotiroidea con consumo ocasional de alcohol, que consulta por distensión abdominal progresiva de 6 meses de evolución y matidez difusa a la percusión, en quien se realiza una paracentesis con el aval equivoco de examen ecográfico que informa abundante líquido libre intrabdominal (Fig. 1), hallando posteriormente en TAC de abdomen y pelvis un proceso expansivo de aspecto quístico de 295mm x 208mm x 250mm. Se programa anexectomia izquierda (Fig. 2) con informe anatomopatológico de cistoadenoma mucinoso de ovario. La comunicación del caso remite a tener disponible el quiste ovárico gigante dentro de los diagnósticos diferenciales de ascitis. Si no se hallan síntomas o signos evidentes de insuficiencia hepática, renal, cardiaca o enfermedad maligna y/o la ecografía no revela signos típicos de líquido libre intrabdominal (líquido en el fondo de saco de Morrison o de Douglas, presencia de asas intestinales libres flotantes), se debería solicitar una TAC y/o una RMI antes de realizar una paracentesis, la cual podría tener consecuencias potencialmente graves. O termo pseudoascite é usado em pacientes que apresentam a falsa impressão de ascite, com distensão abdominal, mas sem fluido livre peritoneal. Apresenta-se o caso de uma mulher de 66 anos, hipertensa e hipotireoidiana com consumo ocasional de álcool, que é consultada por distensão abdominal progressiva de 6 meses de evolução e embotamento difuso por percussão, em que é realizada uma paracentese com o endosso errado do exame ultrassonografia que relata abundante líquido livre intrabdominal (Fig. 1), encontrando posteriormente na tomografia computadorizada do abdome e da pelve um processo expansivo de aparência cística de 295 mm x 208 mm x 250 mm. A anexectomia esquerda é programada (Fig. 2) com laudo patológico de cistadenoma ovariano mucinoso. O relato de caso refere-se à disponibilidade do cisto ovariano gigante no diagnóstico diferencial de ascite. Se nenhum sintoma ou sinal óbvio de fígado, rim, coração ou doença maligna for encontrado e / ou o ultrassom não revelar sinais típicos de líquido livre intra-abdominal (líquido no fundo do saco de Morrison ou Douglas, presença de alças intestinais livres flutuantes), uma tomografia computadorizada e / ou um RMI deve ser solicitado antes da paracentese, o que pode ter consequências potencialmente graves. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023-06-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/27848 10.31053/1853.0605.v80.n2.27848 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 80 No. 2 (2023); 156-157 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 80 Núm. 2 (2023); 156-157 Revista da Faculdade de Ciências Médicas de Córdoba; v. 80 n. 2 (2023); 156-157 1853-0605 0014-6722 10.31053/1853.0605.v80.n2 spa https://revistas.unc.edu.ar/index.php/med/article/view/27848/42255 https://revistas.unc.edu.ar/index.php/med/article/view/27848/41786 Derechos de autor 2023 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |