Alvarado Gay Francisco Javier, Vega Silva Erika
Servicio de ginecología y obstetricia, Hospital Regional 1 de Octubre, México.
Ginecol Obstet Mex. 2005 Jan;73(1):54-8.
A 33 years old male patient was admitted at the Ginecology/Obstetric emergency room with acute pain abdomen. The patient underwent an exploratory laparotomy where it was found 1,400 cc of blood in the peritoneal cavity. It was also found a 10 cm diameter tumor on the right lateral uterus side involving the uterine tube, the ovary and the ipsilateral parametrium. In the omentum there were found two 3 cm diameter tumors like the one found in the uterus. The bleeding was under control so it was made a hysterectomy, bilateral salpingooophorectomy and omentectomy. Histopathologic diagnosis was reported two weeks after. The final diagnosis was serosa infiltration, uterine leiomyosarcoma and implant on peritoneum.
一名33岁男性患者因急性腹痛入住妇产科急诊室。患者接受了剖腹探查术，术中发现腹腔内有1400毫升血液。还发现子宫右侧有一个直径10厘米的肿瘤，累及输卵管、卵巢和同侧子宫旁组织。在大网膜中发现了两个直径3厘米的肿瘤，与子宫内发现的肿瘤相似。出血得到控制后，进行了子宫切除术、双侧输卵管卵巢切除术和大网膜切除术。两周后报告了组织病理学诊断。最终诊断为浆膜浸润、子宫平滑肌肉瘤和腹膜种植。
