巨大带蒂子宫平滑肌瘤自发性撕脱致低血容量性休克及腹腔积血
Hypovolemic Shock and Hemoperitoneum from Spontaneous Avulsion of a Large Pedunculated Uterine Leiomyoma.
作者信息
Mizrahi Daniel J, Kaushik Chhavi, Adamo Robert
机构信息
Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, USA.
出版信息
J Radiol Case Rep. 2017 Mar 31;11(3):15-21. doi: 10.3941/jrcr.v11i3.3054. eCollection 2017 Mar.
Abstract
Hemoperitoneum with hypovolemic shock from avulsion of a pedunculated leiomyoma is a rare but highly fatal condition that can occur spontaneously or as a result of trauma. We report a case of hemoperitoneum and hypovolemic shock secondary to a bleeding leiomyoma detected via computed tomography (CT) scan in a 39 year old premenopausal, gravida 0 female that presented with abdominal pain and became hemodynamically unstable in the emergency department. A preoperative bimanual exam revealed a mass consistent with a 20 week gestational uterus. Following fluid resuscitation, the patient underwent emergent myomectomy and ligation of the right uterine artery and was discharged home in good condition.
摘要
带蒂平滑肌瘤撕脱导致的腹腔积血伴低血容量性休克是一种罕见但致命性很高的疾病，可自发发生或因外伤引起。我们报告一例39岁未绝经、未孕女性，因腹痛就诊于急诊科，血流动力学不稳定，经计算机断层扫描（CT）发现出血性平滑肌瘤继发腹腔积血和低血容量性休克。术前双合诊检查发现一个与妊娠20周子宫相符的肿块。液体复苏后，患者接受了急诊肌瘤切除术及右侧子宫动脉结扎术，术后恢复良好并出院。
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