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一个有蒂的大浆膜下肌瘤扭转导致卵巢扭转和同侧肾盂输尿管积水。

Torsion of a large pedunculated subserosal fibroid led to ovarian torsion and ipsilateral hydroureteronephrosis.

作者信息

Oukassem Siham, Khatibi Wafae, Abourak Chaimae, El Haddad Siham, Nazik Allali, Chat Latifa, Tahri Salma, Fathi Khalid, Elhassouni Fatima

机构信息

Department of Pediatric Radiology, CHU Ibn Sina, University Mohamed V, Rabat, Morocco.

Department of of Gynecology, CHU Ibn Sina, University Mohamed V, Rabat, Morocco.

出版信息

Radiol Case Rep. 2025 Jan 15;20(4):1840-1843. doi: 10.1016/j.radcr.2024.12.014. eCollection 2025 Apr.

Abstract

Torsion of uterine leiomyoma is a rare, albeit life-threatening surgical emergency. A 55-year-old woman presented with right iliac fossa pain persisting for the past 15 days, accompanied by nausea and vomiting. Imaging revealed a torsed subserosal pedunculated uterine leiomyoma, which caused ovarian torsion and ipsilateral ureterohydronephrosis. The case was managed surgically, and the diagnosis confirmed intraoperatively as well as through histopathology.

摘要

子宫平滑肌瘤扭转是一种罕见但危及生命的外科急症。一名55岁女性因右下腹疼痛持续15天前来就诊,伴有恶心和呕吐。影像学检查显示一个带蒂的浆膜下扭转子宫平滑肌瘤,该肌瘤导致了卵巢扭转和同侧输尿管肾盂积水。该病例通过手术治疗,术中诊断以及组织病理学检查均得以证实。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b80a/11783208/88af4022ce6f/gr1.jpg

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