Chong Kian Mei, Chuang Jesse, Tsai Yieh-Loong, Hwang Jiann-Loung
Department of Obstetrics and Gynecology, Shin-Kong Wu Ho Su Memorial Hospital, Shih-Lin, Taipei, Taiwan.
Gynecol Obstet Invest. 2006;61(2):87-9. doi: 10.1159/000089010. Epub 2005 Oct 18.
Paraurethral leiomyoma is rare. This is the first reported case of a woman with a 6 x 7 x 5 cm urethral leiomyoma with profuse vaginal bleeding. The site of bleeding was identified as the anterior vaginal mucosal vein, which we subsequently electrocauterized. Enucleation of the mass was performed smoothly with a Foley catheter to avoid damage to the urethra. Profuse bleeding from a paraurethral myoma is possibly due to increased vascularity and the prolapsed nature of the tumor in this area.
尿道旁平滑肌瘤很罕见。这是首例报道的患有6×7×5厘米尿道平滑肌瘤且伴有大量阴道出血的女性病例。出血部位被确定为阴道前黏膜静脉，随后我们对其进行了电灼。使用Foley导管顺利地进行了肿物剜除术，以避免损伤尿道。尿道旁肌瘤大量出血可能是由于该区域血管增多以及肿瘤的脱垂性质所致。
