Ikechebelu J I, Eleje G U, Okpala B C, Onyiaorah I V, Umeobika J C, Onyegbule O A, Ejikeme B T
Department of Obstetrics/Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.
Niger J Clin Pract. 2012 Jul-Sep;15(3):358-60. doi: 10.4103/1119-3077.100648.
We report a challenging case of a huge gangrenous prolapsed cervical leiomyoma in a multiparous HIV positive lady. A 37-year-old para 3 lady presented with a progressively increasing irreducible mass protruding out per vaginam, 3 months duration of heavy menses, and symptoms of a urinary tract infection. We performed a vaginal myomectomy and she did well postoperatively. A prolapsed gangrenous cervical leiomyoma is a rare condition with only a few cases reported in the literature. Vaginal myomectomy for this condition can be performed in experienced hands without difficulties.
我们报告了一例具有挑战性的病例，一名经产妇且感染艾滋病毒呈阳性的女性患有巨大的坏疽性脱垂宫颈平滑肌瘤。一名37岁、孕3产的女性因经阴道突出的不可回纳肿物逐渐增大、月经过多持续3个月以及尿路感染症状前来就诊。我们实施了经阴道子宫肌瘤切除术，术后她恢复良好。脱垂的坏疽性宫颈平滑肌瘤是一种罕见疾病，文献中仅有少数病例报道。在经验丰富的医生手中，针对这种情况进行经阴道子宫肌瘤切除术并无困难。
