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[深部宫颈子宫内膜异位症导致大量阴道出血。病例报告及文献综述]

[Deep cervical endometriosis causing profuse vaginal bleeding. Case report and literature review].

作者信息

Mendoza Gustavo Olivas, Castañón Francisco Javier Miranda, Hernández Margarito, Maguregui Silvia C Olivas, Orozco Victor Manuel Mata

机构信息

Clínica Maternidad Conchita, Delicias, Chih. México.

出版信息

Ginecol Obstet Mex. 2009 Nov;77(11):518-22.

Abstract

It is reported the case of a patient with cervical endometriosis deep in the fourth decade of life, with regular menstruation, dysmenorrhea secondary progressive, disabling, dyspareunia, and chronic pelvic pain, disquesia in the last three years. Was presented in the emergency on the twentieth day of the menstrual cycle due to an abrupt and substantial transvaginal bleeding, and led to acute anemia. In gynecological exploration was observed in the posterior lip of the cervix and glandular eversion had a solitary lesion in a punch, with active bleeding from the interior of the lesion, independent of the external cervical os and the endocervical canal. The rest of the colposcopy was normal. Total hysterectomy was performed and the histopathologic report was of deep cervical endometriosis, adenomyosis and hemorrhagic salpingitis left.

摘要

据报道,一名接近四十岁的患者患有深部宫颈子宫内膜异位症,月经规律,继发性进行性痛经,疼痛剧烈,性交困难,慢性盆腔疼痛,近三年出现功能障碍。在月经周期的第20天因突然大量经阴道出血而急诊,导致急性贫血。妇科检查发现宫颈后唇及腺性外翻有一个孤立的穿刺病变,病变内部有活动性出血,与宫颈外口和宫颈管无关。其余阴道镜检查正常。进行了全子宫切除术,组织病理学报告为深部宫颈子宫内膜异位症、子宫腺肌病和左侧出血性输卵管炎。

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