Differential diagnosis of volumetric formation of the pelvic organs and abdominal cavity in the practice of an obstetrician-gynecologist and neurosurgeon using the example of serozocele (seroma)

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Pelvic pain is considered one of the main reasons for seeking medical care in a hospital and occurs in 4 to 25% of cases. The leading factors in the occurrence of pelvic pain are chronic, subacute inflammation of the internal organs, pelvic varicose veins, adhesions in the small pelvis as a result of endometriosis, an inflammatory process or a serozocele (seroma), which is an anatomical dead space and is a frequent complication in various surgical interventions. The article presents a clinical case of an 8-year-old girl hospitalized with a preliminary diagnosis of cystadenoma of the left ovary. A serozocele due to a ventriculoperitoneal shunt cannot be ruled out. Previously, the patient underwent shunt revision with replacement of the peritoneal catheter and hernia repair of the right-sided inguinal hernia, which was detected during laparoscopy, which caused the development of postoperative serozocele. The girl was admitted to the department for planned surgical treatment. Separation of adhesions with subtotal resection of the greater omentum was performed.

Keywords:

seroma

surgery

gynecology

neurosurgery

ventriculoperitoneal shunt

Authors:

Adamyan L.V.

Moscow State Medical and Dental University named after A.I. Evdokimov

SPIN RSCI: 9836-2713
Scopus AuthorID: 7006372422
ResearcherID: Q-1722-2018
ORCID: 0000-0002-3253-4512

Sibirskaya E.V.

Moscow State University of Medicine and Dentistry named after A.I. Evdokimov;
Russian Children’s Clinical Hospital Pirogov Russian National Research Medical University

SPIN RSCI: 1356-9252
ORCID: 0000-0002-4540-6341

Palm V.V.

Russian Children’s Clinical Hospital Pirogov Russian National Research Medical University

ORCID: 0000-0001-8436-1070

Kirillova J.A.

Pirogov Russian National Research Medical University

ORCID: 0000-0001-9057-2827

Avetisyan Ju.S.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

ORCID: 0000-0002-3750-7054

Loshkareva M.A.

Sechenov First Moscow State Medical University

ORCID: 0000-0002-3127-5440

Received:

31.10.2022

Accepted:

05.12.2022

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