Department of Obstetrics and Gynecology, Cathay General Hospital, Taipei, Taiwan.
Am J Surg. 2010 Apr;199(4):e36-8. doi: 10.1016/j.amjsurg.2009.05.039.
Primary retroperitoneal leiomyomas are a rare and unusual differential diagnosis in the acute abdomen. A 26-year-old woman presented with chronic constipation and acute abdominal pain. The diagnostic workup included contrast computer tomography, transabdominal ultrasonography, and colonoscopy that revealed an 8-cm homogeneous pelvic tumor with rectal compression. Retroperitoneal leiomyoma was suspected on imaging studies and finally confirmed after tumor excision and immunohistochemical staining.
原发性腹膜后平滑肌瘤在急性腹痛中是一种罕见且不常见的鉴别诊断。一名 26 岁女性因慢性便秘和急性腹痛就诊。诊断性检查包括对比计算机断层扫描、经腹超声检查和结肠镜检查，显示直肠受压的 8 厘米均匀骨盆肿瘤。影像学研究怀疑为腹膜后平滑肌瘤，最终在肿瘤切除和免疫组织化学染色后得到证实。
