Objective: To analyze the clinical data and surgical
treatment procedures of a
patient vyith rare huge
serous cystadenoma of
broad ligament , to clarify its diagnostic and
treatment characteristics, and to explore the present situation and advantages of
laparoscope in the operation of
broad ligament tumor .
Methods: The
patient vyas admitted to
hospital due to abdominal distension for 2 years and aggravated ulness for 2 months. The
diagnosis result vyas pelvic and abdominal mass arising from ovarian according to the preoperative
color Doppler ultrasound and
physical examination . Based on the
laparotomy and intraoperative rapid pathological results, the
patient was diagnosed as huge
serous cystadenoma of
broad ligament . The
location of
ureter and
uteri artery and
vein were carefully identified during the operation and they were ligated for
hemostasis at the basal part of
tumor . The operation was successful
Results: The
ultrasonography image of the huge
serous cystadenoma of
broad ligament was very
similar to that of large ovarian
tumor . The
misdiagnosis rate of ultrasound was high, and CT and MRI were important for the identification of large
broad ligament tumor ; the accuracy rate of preoperative
diagnosis could be improved by CT and MRI Carefully blunt
separation close to the
tumor surface during the operation could avoid the ureteral
injury . The
patient recovered well and discharged from
hospital .
Conclusion: The symptoms of huge
serous cystadenoma of
broad ligament patient are lack of
specificity . The accuracy rate of preoperative
diagnosis should be improved in combination with the medical
history and imageological findings of the
patient The operation plan should be chosen reasonably and the operation should be carefully performed to avoid the occurrence of
secondary injuries .