Departments of Obstetrics, Gynecology, and Reproductive Sciences and Diagnostic Radiology, Yale University School of Medicine, New Haven, Connecticut.
Obstet Gynecol. 2014 Aug;124(2 Pt 2 Suppl 1):448-451. doi: 10.1097/AOG.0000000000000281.
Hematotrachelos, distension of the uterine cervix with accumulated blood, is an extremely rare condition resulting from a congenital anomaly or an acquired condition. We present a case in which an acquired hematotrachelos was the presenting sign of endometrial cancer.
An asymptomatic 66-year-old woman was found to have a bulging cervix during a well-woman visit. Further workup revealed a hematotrachelos and an underlying endometrial adenocarcinoma. She was treated with surgery and adjuvant radiotherapy.
A hematotrachelos, although rare, can prevent vaginal bleeding, which is often the earliest symptom of a uterine malignancy. This case report illustrates the potential importance of the pelvic examination as part of the well-woman physical examination, because it led to the discovery of early-stage endometrial cancer.
血淋沥，即宫颈积血，是一种极其罕见的病症，由先天异常或后天获得性疾病引起。我们报告了一个因后天性血淋沥而出现的子宫内膜癌的病例。
一名无症状的 66 岁女性在常规体检时发现宫颈膨出。进一步检查发现血淋沥和潜在的子宫内膜腺癌。她接受了手术和辅助放疗。
血淋沥虽然罕见，但可以防止阴道出血，这通常是子宫恶性肿瘤的最早症状。本病例报告说明了盆腔检查作为常规体检的一部分的重要性，因为它导致了早期子宫内膜癌的发现。
