Yacoe M E, Jeffrey R B
Department of Radiology, Stanford University Medical Center, CA 94305, USA.
J Clin Ultrasound. 1995 Oct;23(8):473-5. doi: 10.1002/jcu.1870230803.
The present study reviews four cases in which degenerated uterine leiomyomas mimicked appendicitis clinically. The correct diagnosis was made prospectively by sonography in each case. Appendicitis was excluded by graded compression sonography and an exophytic uterine leiomyoma was identified at the point of maximal symptoms. The leiomyomas demonstrated central hypoechoic foci, but no detectable Doppler flow indicating necrosis. Although the phenomenon of a degenerated uterine leiomyoma mimicking appendicitis clinically is known, sonographic diagnosis has not been reported previously. The importance of making this diagnosis sonographically is that management of a degenerated leiomyoma is conservative and unnecessary surgery could be avoided.
本研究回顾了4例子宫平滑肌瘤退变在临床上酷似阑尾炎的病例。每例均通过超声前瞻性地做出了正确诊断。通过分级压迫超声排除了阑尾炎，并在症状最严重处发现了外生性子宫平滑肌瘤。平滑肌瘤表现为中央低回声灶，但未检测到提示坏死的多普勒血流信号。虽然子宫平滑肌瘤退变在临床上酷似阑尾炎这一现象是已知的，但此前尚未有超声诊断的报道。通过超声做出这一诊断的重要性在于，退变平滑肌瘤的治疗是保守的，可避免不必要的手术。
