Department of Obstetrics and Gynecology, Niigata University Medical and Dental Hospital, 1-757, Asahimachi-dori, Chuo-ku, Niigata, 951-8510, Japan.
BMC Pregnancy Childbirth. 2021 Jan 7;21(1):34. doi: 10.1186/s12884-020-03505-7.
Although uterine fibroids are a common gynecologic neoplasm, uterine diverticulum accompanied by a uterine fibroid is unique. In addition, pregnancy complicated with uterine diverticulum is extremely rare. We experienced a case of a uterine fibroid that was associated with a uterine diverticulum that enlarged during pregnancy and puerperium.
A 25-year-old nulligravida woman had an abnormal uterine cavity surrounded by myomatous mass. After natural conception, the mass and pouch had enlarged during pregnancy. Six months after elective cesarean delivery, she underwent laparotomy because of abdominal pain caused by the myomatous mass and the fluid inside. The tumor was connected to the midline of the posterior wall of the normal uterus. The resected tumor was pathologically diagnosed as leiomyoma and diverticulum.
Pregnancy can stimulate uterine fibroids to form uterine diverticula. Resection of the diverticulum and fibroid is a useful option for symptomatic patients with desired future fertility.
虽然子宫肌瘤是一种常见的妇科良性肿瘤，但伴有子宫肌瘤的子宫憩室是独特的。此外，妊娠合并子宫憩室极为罕见。我们遇到了一例妊娠期间和产褥期增大的子宫肌瘤伴子宫憩室的病例。
一名 25 岁的初产妇，子宫腔异常，周围有肌瘤肿块。自然受孕后，肿块和憩室在妊娠期间增大。剖宫产术后 6 个月，因肌瘤肿块和内部液体引起腹痛，行剖腹探查术。肿瘤与正常子宫后壁的中线相连。切除的肿瘤病理诊断为平滑肌瘤和憩室。
妊娠可刺激子宫肌瘤形成子宫憩室。对于有生育要求且有症状的患者，切除憩室和肌瘤是一种有效的选择。
