From the Department of Obstetrics and Gynecology, University of Tennessee Health Center, Memphis Tennessee; and the Departments of Obstetrics and Gynecology and Urology, University of Mississippi Medical Center, Jackson Mississippi.
Obstet Gynecol. 2010 Aug;116 Suppl 2:539-541. doi: 10.1097/AOG.0b013e3181e92faf.
One complication of femoral artery catheterization is postprocedure pelvic hematoma. These hematomas can be difficult to differentiate from adnexal masses.
Two women who had undergone femoral artery catheterization presented with pelvic pain within 3 months of the procedure. Imaging studies revealed a nonspecific adnexal mass, and CA 125 levels were normal. Both women underwent exploratory laparotomy for an adnexal mass and were found to have an organized retroperitoneal hematoma.
An organizing or well-formed retroperitoneal hematoma should be added to the differential diagnosis in a patient with a poorly defined adnexal mass who has had a recent femoral artery catheterization. In patients with a mass less than 10 cm and normal CA 125 (less than 35 units/mL), continued close observation or magnetic resonance imaging scan may be considered.
股动脉导管插入术的一种并发症是术后盆腔血肿。这些血肿很难与附件包块区分。
两名女性在股动脉导管插入术后 3 个月内出现盆腔疼痛。影像学检查显示附件区有非特异性包块，CA125 水平正常。两名女性均因附件区包块行剖腹探查术，发现为有组织的腹膜后血肿。
对于近期行股动脉导管插入术且附件区包块边界不清的患者，应将正在形成或已形成的腹膜后血肿纳入鉴别诊断。对于直径小于 10cm 且 CA125 正常（小于 35 单位/ml）的患者，可考虑继续密切观察或行磁共振成像扫描。
