Dan Dilip, Harnanan Dave, Hariharan Seetharaman, Maharaj Ravi, Hosein Ian, Naraynsingh Vijay
Department of Clinical Surgical Sciences, The University of the West Indies, St. Augustine, West Indies, Trinidad, West Indies.
Rev Bras Ginecol Obstet. 2012 Jun;34(6):285-9.
Extrauterine leiomyomas are rare, benign, and may arise in any anatomic sites. Their unusual growth pattern may even mimic malignancy and can result in a clinical dilemma. Occasionally, uterine leiomyomas become adherent to surrounding structures. They also develop an auxiliary blood supply, and lose their original attachment to the uterus, thus becoming 'parasitic'. Parasitic myomas may also be iatrogenically created after uterine fibroid surgery, particularly if morcellation is used. This report presented two cases of parasitic myomas with sepsis, both requiring right hemicolectomy. It reviewed the pertinent literature.
子宫外平滑肌瘤罕见且为良性,可发生于任何解剖部位。其异常的生长模式甚至可能类似恶性肿瘤,从而导致临床困境。偶尔,子宫平滑肌瘤会与周围结构粘连。它们还会形成辅助血供,并失去与子宫的原始附着,进而成为“寄生性”的。寄生性肌瘤也可能在子宫肌瘤手术后医源性形成,尤其是在使用肌瘤粉碎术的情况下。本报告介绍了两例伴有脓毒症的寄生性肌瘤病例,均需行右半结肠切除术。并对相关文献进行了综述。