胆囊及肌肉型子宫内膜异位症：一例报告

Gallbladder and muscular endometriosis: a case report.

作者信息

Iafrate F, Ciolina M, Iannitti M, Baldassari P, Pichi A, Rengo M, De Cecco C N, Laghi A

机构信息

Department of Radiological, Oncological and Pathological Sciences, Sapienza University of Rome, Policlinico Umberto I, Viale Regina Elena 324, 00161, Rome, Italy.

出版信息

Abdom Imaging. 2013 Feb;38(1):120-4. doi: 10.1007/s00261-012-9879-1.

DOI:10.1007/s00261-012-9879-1

PMID:22456715

Abstract

A 55-year-old woman referred to Radiology Department, with abdominal mass and chronic indefinite and vague abdominal pain, most severe in right hypochondrium and accentuated during menstruation. A history of two cesarean sections was revealed. The patient underwent an ultrasound and Computed Tomography with intravenous contrast media revealing the presence of gallbladder and abdominal wall hyperenhancing masses. Finally, Magnetic Resonance study with intravenous administration of paramagnetic contrast media confirmed the involvement of gallbladder by a solid tissue and the presence of a solid nodule on the abdominal wall. Considering imaging features and the contrast enhancement of the nodules, the patient was sent to surgery. Surgical removal of both gallbladder and abdominal solid implant was performed and histology confirmed the diagnosis of gallbladder and abdominal wall endometriosis.

摘要

一名55岁女性因腹部肿块及慢性、不定时且模糊的腹痛被转诊至放射科，腹痛以右季肋部最为严重，且在月经期间加重。患者有两次剖宫产史。患者接受了超声及静脉注射造影剂的计算机断层扫描，结果显示胆囊及腹壁有强化的肿块。最后，静脉注射顺磁性造影剂的磁共振检查证实胆囊被实性组织侵犯，腹壁有一个实性结节。考虑到结节的影像学特征及强化情况，患者被送去接受手术。手术切除了胆囊及腹壁实性植入物，组织学检查确诊为胆囊及腹壁子宫内膜异位症。