两名患有迈耶-罗基坦斯基-库斯特-豪泽综合征的女性子宫残端平滑肌瘤的发生情况。
Development of leiomyomas on the uterine remnants of two women with Mayer-Rokitansky-Küster-Hauser syndrome.
作者信息
Deligeoroglou Efthimios, Kontoravdis Antonios, Makrakis Evangelos, Christopoulos Panagiotis, Kountouris Apostolos, Creatsas George
机构信息
Second Department of Obstetrics and Gynecology, University of Athens, Aretaieion Hospital, Athens, Greece.
出版信息
Fertil Steril. 2004 May;81(5):1385-7. doi: 10.1016/j.fertnstert.2003.09.067.
OBJECTIVE
To describe two cases of leiomyoma development in patients with Mayer-Rokitansky-Küster-Hauser syndrome (MRKH syndrome).
DESIGN
Case report.
SETTING
Second Department of Obstetrics and Gynecology, University of Athens, Aretaieion Hospital, Athens, Greece.
PATIENT(S): A 42-year-old woman with MRKH syndrome presented with lower abdominal pain, and a 38-year-old woman with MRKH syndrome presented with an asymptomatic left adnexal mass.
INTERVENTIONS(S): Clinical examination, transabdominal ultrasonography, IV urography, laparoscopy.
MAIN OUTCOME MEASURE(S): Ultrasound.
RESULT(S): In both cases, laparoscopy revealed a leiomyoma originating from the left uterine remnant. The leiomyomas and the adjacent uterine remnants were laparoscopically excised.
CONCLUSION(S): In rare cases, leiomyomas can originate from the fibromuscular tissue of uterine remnants in patients with MRKH syndrome.
目的
描述两例患有迈耶-罗基坦斯基-库斯特-豪泽综合征（MRKH综合征）的患者发生平滑肌瘤的情况。
设计
病例报告。
地点
希腊雅典阿雷泰翁医院雅典大学妇产科第二科室。
患者
一名42岁患有MRKH综合征的女性出现下腹部疼痛，一名38岁患有MRKH综合征的女性出现无症状的左附件肿块。
干预措施
临床检查、经腹超声检查、静脉肾盂造影、腹腔镜检查。
主要观察指标
超声检查。
结果
在两例病例中，腹腔镜检查均发现平滑肌瘤起源于左侧子宫残端。通过腹腔镜切除了平滑肌瘤及相邻的子宫残端。
结论
在罕见病例中，MRKH综合征患者的平滑肌瘤可起源于子宫残端的纤维肌组织。
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