一名青少年性交疼痛揭示了一种罕见情况：左直肠旁间隙腹膜后宫颈平滑肌瘤。
Dyspareunia in a Teenager Reveals a Rare Occurrence: Retroperitoneal Cervical Leiomyoma of the Left Pararectal Space.
作者信息
Giannella Luca, Mfuta Kabala, Tuzio Antonella, Cerami Lillo Bruno
机构信息
Local Health Authority of Reggio Emilia, Division of Obstetrics and Gynecology, Cesare Magati Hospital, Scandiano, Italy.
Local Health Authority of Reggio Emilia, Division of Obstetrics and Gynecology, Cesare Magati Hospital, Scandiano, Italy.
出版信息
J Pediatr Adolesc Gynecol. 2016 Feb;29(1):e9-e11. doi: 10.1016/j.jpag.2015.08.005. Epub 2015 Aug 22.
BACKGROUND
Retroperitoneal uterine leiomyoma is a very rare occurrence and to discover it as a cause of female sexual dysfunction in a teen is unusual.
CASE
An 18-year-old black woman reported deep dyspareunia, resulting in severe distress. Gynecological and instrumental examinations showed a pelvic mass of 7 cm in diameter. The preoperative diagnosis was uterine fibroid, but the exact location of the leiomyoma was uncertain. Laparoscopic examination showed a pedunculated retroperitoneal cervical leiomyoma in the left pararectal space. After surgical excision of the mass, normal sexual activity was restored.
SUMMARY AND CONCLUSION
When a teen experiences pain with intercourse, pelvic masses should be part of differential diagnosis of dyspareunia.
背景
腹膜后子宫平滑肌瘤极为罕见，而在青少年中发现其为女性性功能障碍的病因则不常见。
病例
一名18岁黑人女性报告性交深部疼痛，导致严重困扰。妇科及器械检查显示盆腔有一个直径7厘米的肿块。术前诊断为子宫肌瘤，但平滑肌瘤的确切位置不确定。腹腔镜检查显示在左直肠旁间隙有一个带蒂的腹膜后宫颈平滑肌瘤。肿块手术切除后，恢复了正常性活动。
总结与结论
当青少年性交时出现疼痛，盆腔肿块应作为性交困难鉴别诊断的一部分。
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