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妊娠期急腹症的诊断难题:小肠平滑肌瘤。

A diagnostic dilemma of acute abdomen in pregnancy: Leiomyoma of the small intestine.

作者信息

Cengiz Hüseyin, Yıldız Sükrü, Kaya Cihan, Ekin Murat

机构信息

Department of Obstetrics and Gynecology, Bakırköy Dr. Sadi Konuk Teaching and Research Hospital, İstanbul, Turkey.

出版信息

J Turk Ger Gynecol Assoc. 2014 Jan 30;15(1):60-2. doi: 10.5152/jtgga.2013.38233. eCollection 2014.

DOI:10.5152/jtgga.2013.38233
PMID:24790519
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4004307/
Abstract

Small intestinal tumours are rare and difficult to diagnose. This neoplasms may be responsible for haemorrhage, occlusion, perforation and subsequent emergent surgeries. A 28 year old G2P1 woman in her 22nd week of pregnancy was referred to our emergency department with a complaint of left lower abdominal pain that had begun the day before. She underwent an emergent laparotomy with the general surgeons. Histopathological examination defined the diagnosis of leiomyoma of the small intestine. Gastrointestinal pathologies should always be taken into consideration in the differential diagnosis of acute abdomen in pregnancy.

摘要

小肠肿瘤罕见且难以诊断。这些肿瘤可能导致出血、梗阻、穿孔及随后的急诊手术。一名28岁、孕22周、G2P1的女性因前一天开始出现的左下腹疼痛被转诊至我院急诊科。她接受了普通外科医生的急诊剖腹手术。组织病理学检查确诊为小肠平滑肌瘤。妊娠期间急腹症的鉴别诊断应始终考虑胃肠道病变。

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本文引用的文献

1
Evaluation and management of adnexal mass in pregnancy.妊娠附件包块的评估与处理。
Am J Obstet Gynecol. 2011 Aug;205(2):97-102. doi: 10.1016/j.ajog.2011.01.050. Epub 2011 May 14.
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Surgical treatment of small bowel neoplasms.小肠肿瘤的外科治疗。
Eur Rev Med Pharmacol Sci. 2010 Apr;14(4):327-33.
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Gastrointestinal stromal tumor in pregnancy: a case report.妊娠期胃肠道间质瘤:一例报告
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Adnexal masses in the pregnant patient: a diagnostic and management challenge.妊娠患者的附件肿物:诊断与管理挑战
Ultrasound Q. 2008 Dec;24(4):225-40. doi: 10.1097/RUQ.0b013e31819032f.
5
Gastrointestinal stromal tumors mimicking gynecological masses on ultrasound: a report of two cases.超声检查中表现为妇科肿块的胃肠道间质瘤:两例报告
Ultrasound Obstet Gynecol. 2007 Sep;30(3):359-61. doi: 10.1002/uog.4097.
6
Distinguishing gastrointestinal stromal tumors from their mimics: an update.鉴别胃肠道间质瘤与其相似病变:最新进展
Adv Anat Pathol. 2007 May;14(3):178-88. doi: 10.1097/PAP.0b013e318050aa66.
7
An intraluminal leiomyoma of the small intestine causing invagination and obstruction: a case report.一例导致肠套叠和肠梗阻的小肠腔内平滑肌瘤:病例报告
Mt Sinai J Med. 2006 Dec;73(8):1079-81.
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Gastrointestinal stromal tumors (GISTs): analysis of 20 cases.胃肠道间质瘤(GISTs):20例分析
Hepatogastroenterology. 2006 May-Jun;53(69):385-8.
9
Laparoscopic management of adnexal masses in pregnancy: a case series.妊娠期附件包块的腹腔镜处理:病例系列
Eur J Obstet Gynecol Reprod Biol. 2003 Jun 10;108(2):217-22. doi: 10.1016/s0301-2115(02)00374-3.