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囊性腺肌瘤酷似子宫畸形:诊断难题——两例罕见病例报告

Cystic Adenomyoma simulates uterine malformation: A diagnostic dilemma: Case report of two unusual cases.

作者信息

Jain Nutan, Goel Shradha

机构信息

Department of Obstetrics and Gynecology, Vardhman Trauma and Laparoscopy Center, Muzaffarnagar, Uttar Pradesh, India.

出版信息

J Hum Reprod Sci. 2012 Sep;5(3):285-8. doi: 10.4103/0974-1208.106342.

DOI:10.4103/0974-1208.106342
PMID:23532253
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3604837/
Abstract

Cystic adenomyosis is a rare form of adenomyosis mostly seen in middle aged women.We report two cases of cystic adenomyosis in juvenile patients, which simulate uterine malformation and presented as a diagnostic dilemma. The first patient initially was diagnosed as uterus bicornis with a hematometra in obstructed rudimentary horn while the second patient was diagnosed as broad ligament fibroid. Surgical exploration by laparoscopic approach confirmed the diagnosis and excision of the cystic mass relieved the symptoms of the patients.

摘要

囊性子宫腺肌病是子宫腺肌病的一种罕见形式,多见于中年女性。我们报告两例青少年患者的囊性子宫腺肌病,其表现类似子宫畸形,造成诊断困难。首例患者最初被诊断为双角子宫,梗阻性残角子宫积血,而第二例患者被诊断为阔韧带肌瘤。经腹腔镜手术探查确诊后,切除囊性肿物缓解了患者症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b345/3604837/8fb4d39d3493/JHRS-5-285-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b345/3604837/03ee96a38c5d/JHRS-5-285-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b345/3604837/73aa1faaf89e/JHRS-5-285-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b345/3604837/a7d6bb623bff/JHRS-5-285-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b345/3604837/cd482f7be07a/JHRS-5-285-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b345/3604837/a3d782eff5fa/JHRS-5-285-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b345/3604837/15a9cc5e599e/JHRS-5-285-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b345/3604837/c28c31ebc07e/JHRS-5-285-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b345/3604837/8fb4d39d3493/JHRS-5-285-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b345/3604837/03ee96a38c5d/JHRS-5-285-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b345/3604837/a7d6bb623bff/JHRS-5-285-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b345/3604837/cd482f7be07a/JHRS-5-285-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b345/3604837/a3d782eff5fa/JHRS-5-285-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b345/3604837/15a9cc5e599e/JHRS-5-285-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b345/3604837/c28c31ebc07e/JHRS-5-285-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b345/3604837/8fb4d39d3493/JHRS-5-285-g008.jpg

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本文引用的文献

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The cavitated accessory uterine mass: a Müllerian anomaly in women with an otherwise normal uterus.囊性附件子宫肿块:一种子宫正常的女性的 Müllerian 异常。
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