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伪装成后天性动静脉畸形的妊娠物残留

Retained products of conception masquerading as acquired arteriovenous malformation.

作者信息

Kido Aki, Togashi Kaori, Koyama Takashi, Ito Hiroaki, Tatsumi Keiji, Fujii Shingo, Konishi Junji

机构信息

Department of Nuclear Medicine, Graduate School of Medicine, Kyoto University, Japan.

出版信息

J Comput Assist Tomogr. 2003 Jan-Feb;27(1):88-92. doi: 10.1097/00004728-200301000-00016.

Abstract

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.

摘要

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。

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