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对于出现尿失禁主诉的患者考虑广泛鉴别诊断的重要性:一例病例报告。

The importance of considering a wide range of differential diagnoses forpatients presenting with complaints of urinary incontinence: Acase report.

作者信息

Tondo-Steele Katelyn E, Book Nicole M

机构信息

Riverside Methodist Hospital, Columbus, OH 43214, United States of America.

出版信息

Case Rep Womens Health. 2020 Mar 19;26:e00191. doi: 10.1016/j.crwh.2020.e00191. eCollection 2020 Apr.

DOI:10.1016/j.crwh.2020.e00191
PMID:32257829
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7103771/
Abstract

Urinary incontinence (UI) is common in women and is often associated with decreased quality of life. It is important to consider a range of wide differential diagnoses when evaluating a patient presenting with presumed with UI. This case describes a patient referred to urogynecology for urinary incontinence caused by a common, benign and usually asymptomatic gynecologic condition: nabothian cysts. However, based on presentation and imaging, there was concern about a more serious condition: adenoma malignum. This case emphasizes the importance of considering a wide range of differential diagnoses and describes several important differential diagnoses associated with urinary incontinence.

摘要

尿失禁在女性中很常见,并且常常与生活质量下降相关。在评估疑似患有尿失禁的患者时,考虑一系列广泛的鉴别诊断很重要。本病例描述了一名因一种常见、良性且通常无症状的妇科疾病:纳氏囊肿而导致尿失禁,被转诊至妇科泌尿学的患者。然而,根据临床表现和影像学检查,人们担心存在一种更严重的疾病:恶性腺瘤。本病例强调了考虑广泛鉴别诊断的重要性,并描述了与尿失禁相关的几种重要鉴别诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1809/7103771/48593c56ff5d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1809/7103771/1f8c2f071bde/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1809/7103771/48593c56ff5d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1809/7103771/1f8c2f071bde/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1809/7103771/48593c56ff5d/gr2.jpg

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本文引用的文献

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Int Urogynecol J. 2012 Aug;23(8):1087-93. doi: 10.1007/s00192-012-1743-x. Epub 2012 Apr 12.
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Nonovarian gynecologic cysts: MR imaging findings.非卵巢妇科囊肿:磁共振成像表现
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