Suganuma Izumi, Mori Taisuke, Takahara Tokuei, Torii Hiroko, Fujishiro Masanori, Kihira Tomohisa, Urabe Yuko, Urabe Mamoru, Kitawaki Jo
Department of Obstetrics and Gynecology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, 465 Kajii-cho, Kamigyo-ku, Kyoto, 602-8566, Japan,
Arch Gynecol Obstet. 2015 Apr;291(4):951-3. doi: 10.1007/s00404-014-3580-2. Epub 2014 Dec 14.
Peritoneal loose bodies (PLBs) are defined as fibrotic or calcified-free bodies within the peritoneal cavity; they commonly autoamputate from appendices epiploicae that have undergone torsion. Pedunculated, subserosal uterine leiomyomas (PSULs) are subserosal uterine leiomyomas connected to the uterus via a pedicle. In the present report, we describe the case of a PLB that originated from the autoamputation of a PSUL, confirmed based on histological evidence consistent with a uterine leiomyoma and the laparoscopic findings of a broken pedicle. This case clearly demonstrates the potential for a uterine leiomyoma to be the source of a PLB. Our findings contribute to the understanding of the etiological relationship between PLBs and uterine leiomyomas.
腹膜游离体(PLB)被定义为腹腔内的纤维化或无钙化的游离体;它们通常自发生扭转的网膜阑尾自行脱落。带蒂浆膜下子宫平滑肌瘤(PSUL)是通过蒂与子宫相连的浆膜下子宫平滑肌瘤。在本报告中,我们描述了一例起源于PSUL自行脱落的PLB病例,该病例根据与子宫平滑肌瘤一致的组织学证据以及腹腔镜下发现的蒂断裂得以确诊。该病例清楚地表明子宫平滑肌瘤有可能成为PLB的来源。我们的研究结果有助于理解PLB与子宫平滑肌瘤之间的病因学关系。