平滑肌瘤导致大量腹水、右侧胸腔积液及呼吸窘迫。病例报告。
Leiomyoma causing massive ascites, right pleural effusion and respiratory distress. A case report.
作者信息
Ollendorff A T, Keh P, Hoff F, Lurain J R, Fishman D A
机构信息
Department of Obstetrics and Gynecology, Northwestern University Medical School, Chicago, Illinois, USA.
出版信息
J Reprod Med. 1997 Sep;42(9):609-12.
BACKGROUND
Pseudo-Meigs' syndrome, or atypical Meigs' syndrome, occurs when a pelvic mass other than an ovarian fibroma is present with hydrothorax and ascites. Leiomyomas rarely cause this condition.
CASE
An otherwise healthy 31-year-old woman presented to the emergency department in acute respiratory distress with massive ascites, pleural effusion and a pedunculated leiomyoma. After receiving mechanical ventilation, she underwent myomectomy and recovered fully within four weeks.
CONCLUSION
This unique presentation of pseudo-Meigs' syndrome should be included with malignancy in the differential diagnosis of a pelvic mass with ascites.
背景
假性梅格斯综合征，或非典型梅格斯综合征，是指除卵巢纤维瘤外的盆腔肿块伴有胸腔积液和腹水的情况。平滑肌瘤很少导致这种情况。
病例
一名31岁健康女性因急性呼吸窘迫伴大量腹水、胸腔积液和带蒂平滑肌瘤就诊于急诊科。接受机械通气后，她接受了子宫肌瘤切除术，并在四周内完全康复。
结论
这种假性梅格斯综合征的独特表现应在伴有腹水的盆腔肿块的鉴别诊断中与恶性肿瘤一并考虑。
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