RESUMEN
Autoimmune limbic encephalitis (ALE) associated with an anti-N-methyl-D-aspartate receptor (NMDAR) is a rare but occasionally fatal condition that could be accompanied by ovarian teratoma. We report a case of a 27-year-old woman with ALE combined with a mature cystic teratoma that looks like a functional cyst in imaging studies. A single port access laparoscopic left oophorectomy was performed. On the 154th postoperative day, symptoms were fully recovered. Teratoma detection and tumor removal are critical for the management of patients diagnosed with or suspected of ALE.
RESUMEN
OBJECTIVE: The study was designed to prove the safety of simple cyst aspiration instead of the current treatment by laparoscopy. DESIGN: Retrospective analysis. SETTING: Fertimed Olomouc, Infertility Center. METHODS: We are presenting our experience with the aspiration of follicles (group A) and a functional cyst (group B, C). We are evaluating a number of complications in all groups, anaesthesia versus analgesia in group B, C and the cytological examination of fluid from the function cyst in group C. RESULTS: In 2,744 aspirations we detected 0.0004% small complications (vaginal wall bleeding) and 0.0004% major complications (laparoscopy, cystoscopy). No single cytological examination was suspect in the simple ovarian function cyst. CONCLUSION: Aspiration of a simple functional cyst is the first step of the treatment. It is a simple procedure. For patients it is comfortable and safe. In a simple cyst, we do not find suspect cells.