Val-Bernal J Fernando, Villoria Fernando, Cagigal M Luisa, Bretones José M
Department of Anatomic Pathology, Marqués de Valdecilla University Hospital, Medical Faculty, University of Cantabria, Santander, Spain.
Am J Surg Pathol. 2006 Feb;30(2):258-61. doi: 10.1097/01.pas.0000179236.91515.c8.
Emphysematous inflammations of the abdomen and pelvis are uncommon and potentially life-threatening conditions that require aggressive treatment. Pneumopolycystic endometritis is a rare benign condition of which only 1 case has been described. This report describes the sonographic and histologic appearance of pneumopolycystic endometritis in a 49-year-old woman who presented with irregular menses and hypermenorrhea of 1 year's duration. The entity is characterized by gas-filled cysts in the endometrium stroma, in a pattern similar to pneumatosis of the vagina. The histologic picture is specific and should not be confused with gas gangrene involving the uterus characterized by the presence of tissue necrosis and life-threatening infection. Our patient is the first documented case that occurred spontaneously and at the same time was limited to the endometrium. Recognition of pneumopolycystic endometritis is important because this condition does not represent an aggressive life-threatening infection, and spontaneous resolution is to be expected.
腹部和盆腔的气肿性炎症并不常见，是可能危及生命的疾病，需要积极治疗。多囊性子宫内膜炎是一种罕见的良性疾病，仅报道过1例。本报告描述了一名49岁女性多囊性子宫内膜炎的超声和组织学表现，该患者出现月经不规律和月经过多，病程1年。该病症的特征是子宫内膜基质中有充满气体的囊肿，其形态类似于阴道积气。组织学表现具有特异性，不应与累及子宫的气性坏疽相混淆，气性坏疽的特征是存在组织坏死和危及生命的感染。我们的患者是首例自发发生且仅局限于子宫内膜的记录病例。认识多囊性子宫内膜炎很重要,因为这种病症并不代表具有侵袭性的危及生命的感染，有望自发消退。
