卵管膿瘍に対して腹腔鏡下手術を施行した骨形成不全症（Osteogenesis Imperfecta： OI）の一例

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Introduction: Osteogenesis imperfecta (OI) is a congenital disease with various degrees of connective tissue abnormalities in addition to easily fractured bones due to bone fragility, as well as progressive bone deformities. We report a case of left tubo-ovarian abscess (TOA) in a patient with OI treated with laparoscopic surgery.

Case: A 33 - year - old woman with OI type III visited our hospital complaining of pain on the left side of her umbilicus and slight fever. An abdominal computed tomography (CT) revealed that the uterus, uterine adnexa, and urinary bladder were displaced into the upper part of abdominal cavity due to her deformed small bony pelvis. Additionally, a TOA was noted in her left adnexa. Antibiotic treatment was initiated with resolution of symptoms, however, a recurrence was observed after one month. A laparoscopic surgery was performed after careful consideration of surgical positioning, anesthesia modalities, and potential complications with anesthesiologists and surgical nurses.

Conclusions: Various potential perioperative complications are present when performing surgery on patients with OI. Therefore, sufficient preoperative consideration is required. Laparoscopic surgery may offer a minimally invasive approach to patients with OI after careful preoperative consideration.