Acta Chir Belg
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Benign mature teratomas account for approximately 10-15% of all ovarian neoplasms. Many patients with these dermoid cysts are asymptomatic. ⋯ In a 26-year female patient admitted for severe, acute abdominal pain, a computerized abdominal tomography in accordance with the clinical characteristics of the abdominal examination, was highly suggestive for a torsion of a teratoma. The diagnose was confirmed by a celioscopic operative approach and the teratoma with the left tubo-ovarian complex was successfully removed laparoscopically.
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A consecutive series of 105 patients with type B or type C pelvic ring lesions, which were treated operatively between 1987 and 1991, was reviewed retrospectively. 76 patients were also reviewed clinically and radiologically after a mean time of 20,7 months. The average ISS of all patients was 32,8, the peri-operative mortality was 12,4%. ⋯ The actual guidelines for primary and secondary operative management of patients with unstable pelvic ring injuries are exposed. An overview of possible concomitant intrapelvic lesions with their primary treatment is also presented.