由子宫肌瘤引起的完全性非产后子宫内翻：一例报告。
Complete non-puerperal uterine inversion caused by uterine hemangioma: A case report.
机构信息
Department of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua, Taiwan.
Department of Pathology, Changhua Christian Hospital, Changhua, Taiwan.
出版信息
Taiwan J Obstet Gynecol. 2019 Sep;58(5):688-691. doi: 10.1016/j.tjog.2019.07.019.
OBJECTIVE
Uterine inversion is a rare postpartum complication. Non-puerperal uterine inversion is extremely rare. It mostly occurs with uterine tumors, especially leiomyoma. In most instances, the inversion may not be noticed until the time of surgery. The preoperative diagnosis is difficult.
CASE REPORT
We report a case of non-puerperal complete uterine inversion that was initially diagnosed as cervical cancer. The uterine inversion was diagnosed preoperatively and she underwent total abdominal hysterectomy and bilateral salpingooophorectomy. The histological examination showed uterine hemangioma.
CONCLUSION
Accurate diagnosis of the non-puerperal uterine inversion is important. Surgical intervention is necessary and it provides good prognosis. Hemangioma may be one of the causes of non-puerperal uterine inversion.
目的
子宫内翻是一种罕见的产后并发症。非产后性子宫内翻极为罕见。它主要发生在有子宫肿瘤的情况下，尤其是子宫肌瘤。在大多数情况下，直到手术时才会发现内翻。术前诊断困难。
病例报告
我们报告了一例最初诊断为宫颈癌的非产后完全性子宫内翻。术前诊断为子宫内翻，行全子宫切除术和双侧输卵管卵巢切除术。组织学检查显示为子宫血管瘤。
结论
准确诊断非产后性子宫内翻非常重要。手术干预是必要的，预后良好。血管瘤可能是非产后性子宫内翻的原因之一。
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