流产后脓性肌瘤：保留子宫手术可维持生育能力。病例报告。
Pyomyoma after abortion: Uterus conserving surgery is possible to maintain fertility. Case report.
作者信息
Pinton Anne, Aubry Gabrielle, Thoma Véronique, Nisand Israël, Akladios Cherif Youssef
机构信息
Department of Obstetrics and Gynecology, Strasbourg Teaching Hospital, 1 Avenue Molière Strasbourg, 67098, France.
出版信息
Int J Surg Case Rep. 2016;24:179-81. doi: 10.1016/j.ijscr.2016.05.020. Epub 2016 May 19.
INTRODUCTION
Pyomyoma is a rare complication associated with high rates of morbidity and mortality.
PRESENTATION OF CASE
We report the case of a 28-year-old nulligravida patient presenting pyomyoma following a spontaneous abortion at fourteen weeks and four days. Fourteen days following spontaneous miscarriage she was referred to the hospital with abdominal pain and fever. An antibiotic treatment was initiated. However, after ten days, the patient's condition deteriorated and a decision for an emergency laparotomy made. The pyomyoma was successfully resected and the patient's postoperative recovery was uneventful. A new pregnancy was confirmed two years later.
DISCUSSION
The diagnosis of pyomyoma can be difficult but surgical treatment is often indicated. Performing a prompt myomectomy avoids the need for hysterectomy, preserving future fertility.
CONCLUSION
Pregnancy is possible following uterine sparing treatment of pyomyoma.
引言
脓性肌瘤是一种罕见的并发症，发病率和死亡率都很高。
病例介绍
我们报告一例28岁未孕患者，在孕14周零4天时自然流产后出现脓性肌瘤。自然流产14天后，她因腹痛和发热被转诊至医院。开始使用抗生素治疗。然而，10天后，患者病情恶化，决定进行急诊剖腹手术。脓性肌瘤被成功切除，患者术后恢复顺利。两年后确认再次怀孕。
讨论
脓性肌瘤的诊断可能困难，但通常需要手术治疗。及时进行肌瘤切除术可避免子宫切除术，保留未来生育能力。
结论
保留子宫治疗脓性肌瘤后仍有可能怀孕。
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