Pelissier-Komorek A, Hamm J, Bonneau S, Derniaux E, Hoeffel-Fornes C, Graesslin O
Service de gynécologie-obstétrique, maternité Alix-de-Champagne, hôpital Maison-Blanche, CHU de Reims, 45 rue Cognacq-Jay, Reims cedex, France.
J Gynecol Obstet Biol Reprod (Paris). 2012 May;41(3):307-10. doi: 10.1016/j.jgyn.2011.10.002. Epub 2011 Nov 15.
The leiomyoma is the most common benign uterine tumor in population of childbearing age women. We report a patient case with uterine myomas threatening the pregnancy continuation and causing a real problem of maternal tolerance. In presence of a 22 cm subserosal fibroma which is responsible of a severe abdominal pain syndrome resistant to level 3 analgesics, the use of surgical treatment was considered, even if current recommendations are for an optimal medical management. Myomectomy by laparotomy has been performed after 13 weeks of gestation.
平滑肌瘤是育龄期女性中最常见的子宫良性肿瘤。我们报告一例子宫平滑肌瘤患者病例，该肌瘤威胁到妊娠的继续，并引发了真正的母体耐受性问题。患者存在一个22厘米的浆膜下纤维瘤，导致严重的腹痛综合征，三级镇痛药物治疗无效，即使目前的建议是进行最佳的药物治疗，仍考虑采用手术治疗。在妊娠13周后进行了剖腹子宫肌瘤切除术。
