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子宫-腹膜瘘,腹腔镜子宫肌瘤切除术后瘢痕裂开的罕见并发症:一例报告

Utero-peritoneal fistula, a rare complication of laparoscopic myomectomy scar dehiscence: a case Report.

作者信息

Ibinaiye P O, Onwuhafua P, Usman B

机构信息

Department of Radiology Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.

出版信息

Niger Postgrad Med J. 2013 Jun;20(2):165-6.

Abstract

OBJECTIVE

The objective is to report a case of utero-peritoneal fistula caused by laparoscopic myomectomy dehiscence, diagnosed by colour Doppler ultrasound scan and confirmed by x-ray HSG and MRI. The aim of our report lies on the importance of imaging in the diagnosis of fistulous processes involving the uterus.

CASE REPORT

A 36 year old woman (G6,P0)presented with intense dysmenorrheal and intermenstrual spotting since laparoscopic myomectomy 2 years before. A laparoscopic myomectomy dehiscence with utero-peritoneal fistula was diagnosed by pelvic ultrasound, hysterosalpingogram (HSG) and magnetic resonance imaging (MRI).

摘要

目的

报告一例因腹腔镜子宫肌瘤切除术切口裂开导致子宫-腹膜瘘的病例,该病例经彩色多普勒超声扫描诊断,并经子宫输卵管造影(HSG)和磁共振成像(MRI)确诊。我们报告的目的在于强调影像学在诊断涉及子宫的瘘管形成过程中的重要性。

病例报告

一名36岁女性(孕6产0),自2年前行腹腔镜子宫肌瘤切除术后,出现严重痛经和经间期点滴出血。经盆腔超声、子宫输卵管造影(HSG)和磁共振成像(MRI)诊断为腹腔镜子宫肌瘤切除术切口裂开伴子宫-腹膜瘘。

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