罕见的妇科急症：巨大平滑肌瘤表面血管自发性破裂导致大量腹腔内出血
Rare gynaecological emergency: massive intraperitoneal haemorrhage from spontaneous rupture of a superficial vessel on a large leiomyoma.
作者信息
Gulati Nidhi, Raman Srimathy, Srinivasan Maheshwari, Bakour Shagaf
机构信息
Department of Obstetrics and Gynaecology, Walsall Healthcare NHS Trust, Walsall, UK.
Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK.
出版信息
BMJ Case Rep. 2016 Jan 29;2016:bcr2015212576. doi: 10.1136/bcr-2015-212576.
Abstract
Uterine leiomyomas rarely present as gynaecological emergencies. We report a case of a 29-year-old nulliparous woman, with a negative pregnancy test, who presented with collapse and an admission haemoglobin count of 68 g/L. Urgent CT of the abdomen revealed a 14 × 19 × 10 cm uterine fibroid and intraperitoneal free fluid. Emergency laparotomy confirmed massive intraperitoneal haemorrhage from a large serosal vessel on top of a 19 cm subserosal fibroid. A myomectomy was performed, preserving this patient's fertility. Histopathology confirmed a benign leiomyoma with hydropic changes.
摘要
子宫平滑肌瘤很少表现为妇科急症。我们报告一例29岁未育女性病例，妊娠试验阴性，出现虚脱，入院时血红蛋白计数为68g/L。腹部急诊CT显示一个14×19×10cm的子宫肌瘤及腹腔内游离液体。急诊剖腹手术证实，一个19cm浆膜下肌瘤表面的一条大浆膜血管发生大量腹腔内出血。进行了肌瘤切除术，保留了该患者的生育能力。组织病理学证实为伴有水肿改变的良性平滑肌瘤。
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本文引用的文献
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Hemoperitoneum secondary to rupture of a superficial uterine artery overlying a subserous myoma with no predisposing factors in a young woman.一名年轻女性，无诱发因素，浆膜下肌瘤上方的浅表子宫动脉破裂继发腹腔积血。
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