Davison Janette Zuk, Bennett Terri-Ann, Jaffe Ira M
Department of Obstetrics and Gynecology, New York University Langone Medical Center, 550 First Avenue, NBV-9E2, New York, NY 10016, USA.
J Reprod Med. 2013 Sep-Oct;58(9-10):438-40.
Ruptured ectopic pregnancy accounts for more cases of spontaneous hemoperitoneum than does the less frequently described acute bleeding from pedunculated uterine leiomyomata. When the latter does occur, management has consisted of laparotomy and either hemostatic suture or cauterization, myomectomy, or hysterectomy.
We report a case of hemoperitoneum secondary to active bleeding from a pedunculated uterine fibroid notable for the presence of a concomitant tubal abortion as well as for the minimally invasive, fertility-sparing management approach. The patient underwent an uncomplicated laparoscopic myomectomy and was discharged home on the first postoperative day.
Laparoscopic myomectomy is a safe, feasible alternative in the management of hemoperitoneum from pedunculated leiomyomata.
与较少见的带蒂子宫平滑肌瘤急性出血相比，破裂的异位妊娠导致自发性腹腔积血的病例更多。当后者确实发生时，治疗方法包括剖腹手术以及止血缝合或烧灼、肌瘤切除术或子宫切除术。
我们报告一例因带蒂子宫肌瘤活动性出血继发腹腔积血的病例，该病例的显著特点是同时存在输卵管流产以及采用了微创、保留生育功能的治疗方法。患者接受了无并发症的腹腔镜肌瘤切除术，并于术后第一天出院回家。
腹腔镜肌瘤切除术是治疗带蒂平滑肌瘤引起的腹腔积血的一种安全、可行的替代方法。
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