Böni R A, Hebisch G, Huch A, Stallmach T, Krestin G P
Department of Medical Radiology, University Hospital, Zurich, Switzerland.
J Comput Assist Tomogr. 1994 Sep-Oct;18(5):828-31. doi: 10.1097/00004728-199409000-00027.
The case of a patient with severe fever in the puerperium is presented. Ultrasound, CT, and MRI revealed multiple myomas; all the myomas, even the smallest ones, were hypodense on pre- and postcontrast enhanced CT and presented with high signal intensities on T2-weighted MRI. After hysterectomy, histology demonstrated necrosis of all leiomyomas without hemorrhage or inflammatory reaction. Therefore, fever was caused solely by extensive necrotic degeneration of the fibroids, probably due to hypoperfusion related to delivery or hormonal changes during pregnancy and puerperium.
本文报告了一例产后高热患者的病例。超声、CT和MRI检查发现多个子宫肌瘤；所有肌瘤，即使是最小的肌瘤，在CT平扫及增强扫描上均呈低密度影，在T2加权MRI上呈高信号强度。子宫切除术后，组织学检查显示所有平滑肌瘤均发生坏死，无出血或炎症反应。因此，发热仅由肌瘤广泛的坏死性退变引起，可能是由于分娩或妊娠及产褥期激素变化导致的灌注不足所致。
