Fontana R, Kamel P L
Section of Gastroenterology, Northwestern University Medical School, Chicago, IL 60611.
J Clin Gastroenterol. 1990 Dec;12(6):690-2. doi: 10.1097/00004836-199012000-00020.
A 38-year-old woman developed small bowel obstruction shortly after a cholecystectomy because of a massively enlarged leiomyomatous uterus. Small bowel obstruction is a relatively rare complication from fibroid tumors and results from entrapment of the bowel between serosal pedunculated fibroids (as in this patient), adhesions to infarcted leiomyomas, or from compression of the small bowel by the large mass. Large uterine leiomyomas clearly must be considered in the etiology of intestinal obstruction.
一名38岁女性在因巨大平滑肌瘤性子宫行胆囊切除术后不久发生小肠梗阻。小肠梗阻是肌瘤肿瘤相对罕见的并发症,由浆膜下带蒂肌瘤之间的肠管嵌顿(如该患者)、与梗死平滑肌瘤的粘连或由巨大肿块对小肠的压迫引起。在肠梗阻的病因中,显然必须考虑巨大子宫平滑肌瘤。