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罗伯特子宫的延迟诊断及潜在后果:一例报告

Robert's uterus with delayed diagnosis and potential consequences: a case report.

作者信息

Zhang Jing, Zhou Weili, Tang Ying, Tan Shiqiao, Qiao Lin

机构信息

Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.

Reproductive Endocrinology and Regulation Laboratory, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.

出版信息

J Int Med Res. 2021 Mar;49(3):300060521999531. doi: 10.1177/0300060521999531.

Abstract

A 24-year-old woman who wished to become pregnant presented to our hospital with an enlarged ovarian endometrioma and developmental abnormality of the uterus. Robert's uterus complicated by hematosalpinx, ovarian endometrioma, and endometriosis were finally identified 1 year after previously being diagnosed with a cyst and uterine abnormality at a local hospital. The function of the salpinx and the pelvic environment were damaged because of the delayed diagnosis and operation. Gynecologists and sonologists should be aware of and alert to this rare entity while evaluating and managing cases of uterine abnormalities and endometriosis. Prompt early diagnosis and proper management of Robert's uterus are important for avoiding future morbidity because these are major factors in protecting fertility.

摘要

一名希望怀孕的24岁女性因卵巢子宫内膜异位囊肿增大和子宫发育异常前来我院就诊。该患者最终被诊断为罗伯特子宫,合并输卵管积血、卵巢子宫内膜异位囊肿和子宫内膜异位症,1年前在当地医院被诊断为囊肿和子宫异常。由于诊断和手术延误,输卵管功能和盆腔环境受到损害。妇科医生和超声科医生在评估和处理子宫异常和子宫内膜异位症病例时,应认识并警惕这种罕见情况。对罗伯特子宫进行及时的早期诊断和恰当处理对于避免未来发病很重要,因为这些是保护生育能力的主要因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cec/7995457/1886b0d2bcf7/10.1177_0300060521999531-fig1.jpg

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