Richard Frederic, Canlorbe Geoffroy, Bazot Marc, Daraï Emile
Service de Gynécologie-obstétrique et Médecine de la Reproduction, Hôpital Tenon, Paris, France.
Service de Radiologie, Hôpital Tenon, Paris, France.
BMJ Case Rep. 2014 Jun 4;2014:bcr2014204978. doi: 10.1136/bcr-2014-204978.
Deep infiltrating endometriosis (DIE) is a well-known cause of pelvic pain and infertility. Malignant transformation of DIE is rare but can be suggested by MRI. We report a case of a spontaneous pregnancy in a woman with suspicion of malignant transformation of DIE with fistulisation to the posterior uterine isthmus through to the cervical canal. The pregnancy was closely monitored and an uneventful caesarian section was performed at 34 weeks of gestation. This case raises the issue of the relevance of imaging techniques and management of pregnancy.
深部浸润型子宫内膜异位症（DIE）是盆腔疼痛和不孕的常见原因。DIE恶变罕见，但MRI可提示恶变。我们报告1例疑似DIE恶变的女性自发妊娠病例，该患者伴有瘘管形成，从子宫峡部后方向宫颈管延伸。对该妊娠进行密切监测，并在妊娠34周时顺利进行剖宫产。该病例引发了关于影像技术在孕期的相关性及管理的问题。
