播散性腹膜平滑肌瘤病：腹腔镜子宫肌瘤切除术的一种罕见并发症。
Disseminated peritoneal leiomyomatosis: an unusual complication of laparoscopic myomectomy.
作者信息
Kumar Sunesh, Sharma J B, Verma Dipika, Gupta P, Roy K K, Malhotra Neena
机构信息
Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
出版信息
Arch Gynecol Obstet. 2008 Jul;278(1):93-5. doi: 10.1007/s00404-007-0536-9. Epub 2008 Jan 12.
INTRODUCTION
We report a case of disseminated peritoneal leiomyomatosis arising after laparoscopic myomectomy.
CASE REPORT
The patient presented with a large abdominopelvic mass 9 months post laparoscopic myomectomy. Clinical examination and imaging revealed a mass lying separately from the uterus and the ovaries. The large myoma and several small peritoneal myomas were removed by a laparotomy.
CONCLUSION
Disseminated leiomyomas have rarely been reported after laparoscopic myomectomy and hysterectomy. They could be bits left after morcellation or could be parasitic myomas. Hence, this rare condition must be kept in mind whenever a patient presents with abdominal masses following myomectomy or hysterectomy.
引言
我们报告一例腹腔镜子宫肌瘤切除术后发生的播散性腹膜平滑肌瘤病病例。
病例报告
该患者在腹腔镜子宫肌瘤切除术后9个月出现巨大的腹盆腔肿物。临床检查及影像学检查显示肿物与子宫和卵巢分离。通过剖腹手术切除了大的肌瘤及数个小的腹膜肌瘤。
结论
腹腔镜子宫肌瘤切除术及子宫切除术后发生播散性平滑肌瘤的报道很少。它们可能是碎瘤过程中残留的组织，也可能是寄生性肌瘤。因此，当患者在子宫肌瘤切除术或子宫切除术后出现腹部肿物时，必须考虑到这种罕见情况。
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