心包积液、右侧胸腔积液及腹水与IV期子宫内膜异位症相关：一例报告
Pericardial effusion, right-sided pleural effusion and ascites associated with stage IV endometriosis. A case report.
作者信息
Francis Michelle, Badero Oluyemi O, Borowsky Mark, Lee Yi-Chun, Abulafia Ovadia
机构信息
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Division of Cardiology, State University of New York, Downstate Medical Center, Brooklyn, USA.
出版信息
J Reprod Med. 2003 Jun;48(6):463-5.
BACKGROUND
Endometriosis has rarely been associated with ascites and less often with pleural (usually right-sided) effusion.
CASE
A multiparous, reproductive-aged woman was referred for evaluation of possible ovarian carcinoma following the development of dyspnea, progressive abdominal distention, weight loss and increasing secondary dysmenorrhea. Imaging demonstrated normal ovaries in the presence of massive ascites and right-sided pleural and pericardial effusions. At laparotomy, grade IV endometriosis was noted. Total abdominal hysterectomy, bilateral salpingo-oophorectomy and appendectomy were performed, with subsequent resolution of all cavity fluid accumulations.
CONCLUSION
Pericardial and pleural effusions in the presence of ascites may be associated with endometriosis.
背景
子宫内膜异位症极少与腹水相关，与胸腔积液（通常为右侧）相关的情况则更少见。
病例
一名经产妇、育龄期女性，在出现呼吸困难、进行性腹部膨隆、体重减轻及继发性痛经加重后，因怀疑卵巢癌前来评估。影像学检查显示，存在大量腹水、右侧胸腔积液和心包积液时卵巢正常。剖腹手术时发现为IV级子宫内膜异位症。进行了全腹子宫切除术、双侧输卵管卵巢切除术和阑尾切除术，随后所有体腔积液均消失。
结论
存在腹水时的心包积液和胸腔积液可能与子宫内膜异位症有关。
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