一名年轻女性的非产褥期子宫内翻：病例报告
Non-puerperal uterine inversion in a young woman: a case report.
作者信息
Kouamé A, Koffi S V, Adjoby R, Diomandé F A, Effoh D, Oussou C, Kouakou F
机构信息
Department of Obstetrics and Gynaecology, CHU of Cocody, Abidjan, Côte d'Ivoire.
出版信息
J West Afr Coll Surg. 2015 Jul-Sep;5(3):78-83.
BACKGROUND
Uterine inversion is an uncommon complication in the non-puerperal period. Submucosal myoma is more frequently involved usually among women above 45 years old.
CASE PRESENTATION
A 28 year-old patient was admitted to the gynaecology emergency room in Cocody Teaching Hospital, Abidjan, Cote D'Ivoire with a large lobulated fleshy mass in the vulval area. She had been having pelvic pain, heaviness in the pelvis and bleeding per vaginam intermittently for 6 months for which she had been treated conservatively without improvement. The clinical examination was consistent with uterine inversion secondary to a mass in the fundus of the uterus. The uterus with the mass in the fundus was excised by a combined vaginal and abdominal (abdominal hysterectomy) approach. Histopathology confirmed the mass to be a sub-mucosal uterine leiomyoma. She has been followed up for 12 months without complaints.
CONCLUSION
We have presented a young woman with an unusual non-puerperal, total and chronic uterine inversion as a result of uterine leiomyoma managed successfully by a combined abdominal and vaginal approach.
背景
子宫内翻是产褥期以外的一种罕见并发症。黏膜下肌瘤通常在45岁以上女性中更常受累。
病例介绍
一名28岁患者因外阴区有一个大的分叶状肉质肿物被收入科特迪瓦阿比让科科迪教学医院妇科急诊室。她间歇性盆腔疼痛、盆腔坠胀和阴道出血6个月，此前接受保守治疗但无改善。临床检查结果符合子宫底部肿物继发子宫内翻。通过阴道联合腹部（腹式子宫切除术）方法切除了子宫底部有肿物的子宫。组织病理学证实肿物为黏膜下子宫平滑肌瘤。对她进行了12个月的随访，无任何不适主诉。
结论
我们报告了一名年轻女性因子宫平滑肌瘤导致的非产褥期、完全性和慢性子宫内翻，通过腹部联合阴道方法成功治疗。
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