阔韧带巨大平滑肌瘤
Massive leiomyoma of the broad ligament.
作者信息
Muffly Tyler, Vadlamani Indira, Weed John C
机构信息
Department of Obstetrics and Gynecology, University of Missouri at Kansas City, Missouri 64108, USA.
出版信息
Obstet Gynecol. 2007 Feb;109(2 Pt2):563-5. doi: 10.1097/01.AOG.0000254175.99571.ee.
BACKGROUND
A primary broad ligament leiomyoma weighing greater than 50 kg presented unique perioperative complications.
CASE
A postmenopausal nulligravida presented to the emergency department for a fractured patella with an incidental finding of a massive abdomen. The patient underwent laparotomy to remove a 51-kg broad ligament leiomyoma. Extensive vascularization from the tumor caused a caput medusae effect and significant bleeding from the anterior abdominal wall. The size of the mass required extensive preoperative planning.
CONCLUSION
When removing a pelvic mass, consider primary broad ligament leiomyoma for its unique vascular pathophysiology and size complications.
背景
一例重达50公斤以上的原发性阔韧带平滑肌瘤出现了独特的围手术期并发症。
病例
一名绝经后未孕女性因髌骨骨折到急诊科就诊，偶然发现腹部巨大。患者接受剖腹手术以切除一个51公斤的阔韧带平滑肌瘤。肿瘤广泛的血管化导致了海蛇头样表现以及前腹壁大量出血。肿块的大小需要进行广泛的术前规划。
结论
在切除盆腔肿块时，考虑原发性阔韧带平滑肌瘤因其独特的血管病理生理学和大小相关并发症。
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