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病例报告:1例巨大子宫平滑肌瘤会阴脱垂合并多发性肺栓塞和深静脉血栓形成。

Case report: A case of perineal prolapse of giant uterine fibroids complicated by multiple pulmonary embolisms and deep venous thrombosis.

作者信息

Dong Shixiang, Sun Xin, Yu Fengsheng, Wang Wenjie, Zhang Li, Wang Yankui, Yu Xiao

机构信息

Department of Gynecology, The Affiliated Hospital of Qingdao University, Qingdao, China.

Medical College, Qingdao University, Qingdao, China.

出版信息

Front Oncol. 2024 May 24;14:1415928. doi: 10.3389/fonc.2024.1415928. eCollection 2024.

Abstract

A 43-year-old woman with a history of uterine fibroids, anemia, and deep vein thrombosis presented with a chief symptom of prolapse of tumor from the perineum, complicated by infection. The case was further complicated by bilateral pulmonary multiple embolism, deep vein thrombosis, acute cardiac insufficiency, acute renal insufficiency, and shock. The patient was treated with preoperative placement of an inferior vena cava filter, open hysterectomy, and perioperative anticoagulation with low-molecular-weight heparin. She smoothly navigated the perioperative period and recovered completely.

摘要

一名43岁女性,有子宫肌瘤、贫血和深静脉血栓形成病史,以会阴部肿物脱出为主诉就诊,并发感染。该病例进一步并发双侧肺部多发性栓塞、深静脉血栓形成、急性心功能不全、急性肾功能不全和休克。患者接受了术前下腔静脉滤器置入、开放性子宫切除术及围手术期低分子肝素抗凝治疗。她顺利度过围手术期,完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b22/11157014/283045a71ee4/fonc-14-1415928-g001.jpg

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