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绝经后女性子宫平滑肌瘤伴平滑肌瘤内自发性出血、穿孔及腹腔积血：计算机断层扫描诊断

Uterine leiomyoma with spontaneous intraleiomyoma hemorrhage, perforation, and hemoperitoneum in postmenopausal woman: Computed tomography diagnosis.

作者信息

Alharbi Sultan R

机构信息

Department of Radiology and Medical Imaging, King Khalid University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia.

出版信息

Avicenna J Med. 2013 Jul;3(3):81-3. doi: 10.4103/2231-0770.118465.

DOI:10.4103/2231-0770.118465
PMID:24251236
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3818784/
Abstract

Spontaneous intraleiomyoma hemorrhage, perforation, and hemoperitoneum are very rare complications of uterine leiomyoma. We report a case of postmenopausal woman who presented with acute abdomen found to have intraleiomyoma hemorrhage, perforation, and hemoperitoneum. Our case also illustrates the computed tomography findings of such complications of uterine leiomyoma.

摘要

自发性平滑肌瘤出血、穿孔和腹腔积血是子宫肌瘤非常罕见的并发症。我们报告一例绝经后女性，因急腹症就诊，发现患有平滑肌瘤出血、穿孔和腹腔积血。我们的病例还展示了子宫肌瘤此类并发症的计算机断层扫描结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8d6/3818784/784119d1ebc6/AJM-3-81-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8d6/3818784/2aa1e0f1b877/AJM-3-81-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8d6/3818784/3916c231a588/AJM-3-81-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8d6/3818784/c9b26a57b494/AJM-3-81-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8d6/3818784/784119d1ebc6/AJM-3-81-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8d6/3818784/2aa1e0f1b877/AJM-3-81-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8d6/3818784/3916c231a588/AJM-3-81-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8d6/3818784/c9b26a57b494/AJM-3-81-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8d6/3818784/784119d1ebc6/AJM-3-81-g004.jpg

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本文引用的文献

1
Intra-leiomyoma massive hemorrhage after delivery.产后平滑肌瘤内大量出血。
J Obstet Gynaecol Res. 2013 Jan;39(1):355-8. doi: 10.1111/j.1447-0756.2012.01932.x. Epub 2012 Jul 6.
2
Radiological appearances of gynaecological emergencies.妇科急症的放射学表现。
Insights Imaging. 2012 Jun;3(3):265-75. doi: 10.1007/s13244-012-0157-0. Epub 2012 Apr 18.
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Radiological appearances of uterine fibroids.子宫肌瘤的放射学表现。
Indian J Radiol Imaging. 2009 Jul-Sep;19(3):222-31. doi: 10.4103/0971-3026.54887.
4
Massive hemoperitoneum resulting from spontaneous rupture of uterine leiomyoma.子宫平滑肌瘤自发破裂导致大量腹腔积血。
Am J Emerg Med. 2008 Oct;26(8):974.e1-2. doi: 10.1016/j.ajem.2008.02.029.
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Emergency selective arterial embolization for control of life-threatening hemorrhage from uterine fibroids.
AJR Am J Roentgenol. 2004 Oct;183(4):1025-8. doi: 10.2214/ajr.183.4.1831025.
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Gynecologic causes of acute pelvic pain: spectrum of CT findings.急性盆腔疼痛的妇科病因：CT表现谱
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7
Ruptured degenerated uterine fibroid diagnosed by imaging.经影像学诊断的破裂变性子宫平滑肌瘤
Obstet Gynecol. 2001 Nov;98(5 Pt 2):961-3. doi: 10.1016/s0029-7844(01)01541-1.