Fistula formation after excision of extraperitoneal paravaginal teratoma
Abstracts: Objective: Mature extragonadal teratomas, particularly at the pelvic extraperitoneal site, are rare. Herein, we report a case of paravaginal teratoma and fistula formation five years post-operation. Case Report: A 23-year-old woman (G4P3A1) presented with a left paravaginal cystic tumor....
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455924002948 |
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| author | Ting-Chien Lin Po-Chuan Chen Wan-Chen Liu Chun-Ting Chiang Yu-Fang Huang |
| author_facet | Ting-Chien Lin Po-Chuan Chen Wan-Chen Liu Chun-Ting Chiang Yu-Fang Huang |
| author_sort | Ting-Chien Lin |
| collection | DOAJ |
| description | Abstracts: Objective: Mature extragonadal teratomas, particularly at the pelvic extraperitoneal site, are rare. Herein, we report a case of paravaginal teratoma and fistula formation five years post-operation. Case Report: A 23-year-old woman (G4P3A1) presented with a left paravaginal cystic tumor. After transvaginal tumor excision, histopathology revealed a paravaginal dermoid cyst. Five years post-operation, she returned with recurrent symptoms, including fever and perineal pain. Pelvic magnetic resonance imaging showed abscess at the surgical site, with tract-like extensions through the levator ani and vaginal wall. Treatment was administered without surgical intervention. Seven years post-operation, the patient underwent debridement of the left paravaginal abscess via the left perineal route. The patient was diagnosed with an abscess and an epidermal keratinous cyst with a vaginoperineal fistula. No recurrent abscess or fistula formation was encountered four years after debridement and fistulectomy. Conclusion: Preoperative and postoperative counseling should be conducted with long-term follow-up for such patients. |
| format | Article |
| id | doaj-art-c9a18db68c7c4b0f8df3779f9c9ae0dd |
| institution | Kabale University |
| issn | 1028-4559 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj-art-c9a18db68c7c4b0f8df3779f9c9ae0dd2025-01-09T06:12:54ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592025-01-01641151154Fistula formation after excision of extraperitoneal paravaginal teratomaTing-Chien Lin0Po-Chuan Chen1Wan-Chen Liu2Chun-Ting Chiang3Yu-Fang Huang4Department of Obstetrics and Gynecology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, 704302, TaiwanDepartment of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, 704302, TaiwanDepartment of Radiology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, 704302, TaiwanDepartment of Pathology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, 704302, TaiwanDepartment of Obstetrics and Gynecology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, 704302, Taiwan; Corresponding author. Department of Obstetrics and Gynecology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, 138, Sheng-Li Road, 704302, Tainan, Taiwan.Abstracts: Objective: Mature extragonadal teratomas, particularly at the pelvic extraperitoneal site, are rare. Herein, we report a case of paravaginal teratoma and fistula formation five years post-operation. Case Report: A 23-year-old woman (G4P3A1) presented with a left paravaginal cystic tumor. After transvaginal tumor excision, histopathology revealed a paravaginal dermoid cyst. Five years post-operation, she returned with recurrent symptoms, including fever and perineal pain. Pelvic magnetic resonance imaging showed abscess at the surgical site, with tract-like extensions through the levator ani and vaginal wall. Treatment was administered without surgical intervention. Seven years post-operation, the patient underwent debridement of the left paravaginal abscess via the left perineal route. The patient was diagnosed with an abscess and an epidermal keratinous cyst with a vaginoperineal fistula. No recurrent abscess or fistula formation was encountered four years after debridement and fistulectomy. Conclusion: Preoperative and postoperative counseling should be conducted with long-term follow-up for such patients.http://www.sciencedirect.com/science/article/pii/S1028455924002948Mature extragonadal teratomaParavaginal fistulaThe Hounsfield unit value of computed tomography |
| spellingShingle | Ting-Chien Lin Po-Chuan Chen Wan-Chen Liu Chun-Ting Chiang Yu-Fang Huang Fistula formation after excision of extraperitoneal paravaginal teratoma Taiwanese Journal of Obstetrics & Gynecology Mature extragonadal teratoma Paravaginal fistula The Hounsfield unit value of computed tomography |
| title | Fistula formation after excision of extraperitoneal paravaginal teratoma |
| title_full | Fistula formation after excision of extraperitoneal paravaginal teratoma |
| title_fullStr | Fistula formation after excision of extraperitoneal paravaginal teratoma |
| title_full_unstemmed | Fistula formation after excision of extraperitoneal paravaginal teratoma |
| title_short | Fistula formation after excision of extraperitoneal paravaginal teratoma |
| title_sort | fistula formation after excision of extraperitoneal paravaginal teratoma |
| topic | Mature extragonadal teratoma Paravaginal fistula The Hounsfield unit value of computed tomography |
| url | http://www.sciencedirect.com/science/article/pii/S1028455924002948 |
| work_keys_str_mv | AT tingchienlin fistulaformationafterexcisionofextraperitonealparavaginalteratoma AT pochuanchen fistulaformationafterexcisionofextraperitonealparavaginalteratoma AT wanchenliu fistulaformationafterexcisionofextraperitonealparavaginalteratoma AT chuntingchiang fistulaformationafterexcisionofextraperitonealparavaginalteratoma AT yufanghuang fistulaformationafterexcisionofextraperitonealparavaginalteratoma |