Wazir Hersh, Jain Molly S, Luvsannyam Enkhmaa, Rayalu Michael, Alston Charles
Medicine, All Saints University College of Medicine, Toronto, CAN.
Medicine, Saint James School of Medicine, Park Ridge, USA.
Cureus. 2020 Dec 15;12(12):e12097. doi: 10.7759/cureus.12097.
Leiomyomas, also known as uterine fibroids, are the most common benign uterine tumors in women. The most frequently reported symptoms are uterine bleeding and abdominal and/or pelvic pressure; however, most cases are asymptomatic and may be found incidentally. Endometriosis is a condition where the endometrium proliferates outside of the uterine cavity. Extrauterine endometrial implants are usually found in the ovaries, pelvis, and peritoneum, but can extend anywhere throughout the body. Women with endometriosis may exhibit dysmenorrhea, dyspareunia, dyschezia, and infertility. Inflammation caused by endometriosis may lead to fibrosis, scarring, and adhesions. We report a case of an asymptomatic 36-year-old African-American woman with increasing abdominal girth, consistent with a 28-week gestation, presenting to her obstetrician/gynecologist for her annual exam, who on further investigation is found to have multiple large fibroids, bilateral ovarian cysts, and widespread endometriosis with several adhesions ultimately leading to a frozen pelvis.
平滑肌瘤，也被称为子宫肌瘤，是女性最常见的子宫良性肿瘤。最常报告的症状是子宫出血以及腹部和/或盆腔压迫感；然而，大多数病例无症状，可能是偶然发现的。子宫内膜异位症是指子宫内膜在子宫腔外增生的一种病症。子宫外的子宫内膜植入物通常见于卵巢、盆腔和腹膜，但可延伸至身体的任何部位。患有子宫内膜异位症的女性可能会出现痛经、性交困难、排便困难和不孕。子宫内膜异位症引起的炎症可能导致纤维化、瘢痕形成和粘连。我们报告一例36岁无症状非裔美国女性病例，其腹围增大，与妊娠28周相符，因年度体检就诊于妇产科医生，进一步检查发现她有多个大的肌瘤、双侧卵巢囊肿以及广泛的子宫内膜异位症伴多处粘连，最终导致冰冻骨盆。
