Pati Shyamapada, Mukhopadhyay Amitava
Department of Obstetrics and Gynaecology, Institute of Postgraduate Medical Education and Research and SSKM Hospital, Kolkata 700020.
J Indian Med Assoc. 2009 Jul;107(7):460-1.
A 20 years old, unmarried woman attended OPD with the complaints of amenorrhoea (primary) and lower abdominal pain for last 3 months. Per abdominal examination revealed a mobile mass in the lower abdomen at the level of pubic symphysis. Per rectal examination revealed a midpelvic mass. Per vagina examination revealed vaginal opening was blind. On laparotomy a solid mass (8cm x 7cam) with bosselated surface was seen arising from the uterine bulb on the left side, which appeared and histopathologically correlated to be leiomyoma. The patient was discharged with a plan for further surgery of vaginoplasty.
一名20岁未婚女性因闭经(原发性)及下腹部疼痛3个月就诊于门诊。腹部触诊发现耻骨联合水平下腹部有一可活动肿块。直肠指诊发现盆腔中部有一肿块。阴道检查发现阴道口闭锁。剖腹探查时,可见一个左侧子宫球部长出的表面呈结节状的实性肿块(8厘米×7厘米),外观及组织病理学检查均证实为平滑肌瘤。患者出院,计划进一步行阴道成形术。