Kido Aki, Togashi Kaori, Koyama Takashi, Ito Hiroaki, Tatsumi Keiji, Fujii Shingo, Konishi Junji
Department of Nuclear Medicine, Graduate School of Medicine, Kyoto University, Japan.
J Comput Assist Tomogr. 2003 Jan-Feb;27(1):88-92. doi: 10.1097/00004728-200301000-00016.
This case documents a seldom-described event of retained products of conception masquerading as an acquired arteriovenous malformation (AVM) of the uterus. The patient presented with sudden onset of heavy vaginal bleeding 6 weeks after artificial abortion. Ultrasonography and magnetic resonance imaging revealed a diffuse intramural lesion predominantly consisting of prominent vessels, which raised suspicion of an AVM. Hysterectomy revealed retained products of placenta that were necrotic and encroached into thin myometrium.
本病例记录了一例罕见事件,即妊娠物残留伪装成子宫后天性动静脉畸形(AVM)。患者在人工流产6周后突然出现大量阴道出血。超声检查和磁共振成像显示子宫肌壁内有一弥漫性病变,主要由明显的血管组成,这引发了对AVM的怀疑。子宫切除术后发现胎盘组织残留,已坏死并侵入薄的子宫肌层。