输卵管子宫内膜异位症导致的大量腹腔积血。病例报告。
Massive hemoperitoneum from endometriosis of the fallopian tube. A case report.
作者信息
Harmanli O H, Chatwani A, Caya J G
机构信息
Department of Obstetrics, Gynecology, Temple University, School of Medicine, Philadelphia, PA 19140, USA.
出版信息
J Reprod Med. 1998 Aug;43(8):716-8.
BACKGROUND
Endometriosis is a common gynecologic disease that usually presents with pelvic pain and infertility in the reproductive years. It can be complicated by bleeding, such as hematuria or hemoptysis; however, acute massive hemoperitoneum caused by tubal endometriosis without any concomitant disorder has not been reported previously.
CASE
An unusual case of massive hemoperitoneum led to preshock as a result of bleeding from a tubal endometriosis implant in a previously healthy 29-year-old woman without previous history suggesting endometriosis.
CONCLUSION
Although the most common gynecologic cause of hemoperitoneum in a reproductive-age woman is ruptured ectopic pregnancy, endometriosis should also be considered, especially after exclusion of pregnancy.
背景
子宫内膜异位症是一种常见的妇科疾病，在生育年龄通常表现为盆腔疼痛和不孕。它可能并发出血，如血尿或咯血；然而，此前尚未有关于无任何伴随疾病的输卵管子宫内膜异位症导致急性大量腹腔积血的报道。
病例
一名29岁既往健康、无子宫内膜异位症病史的女性，因输卵管子宫内膜异位症植入物出血导致大量腹腔积血并引发休克前期，这是一例罕见病例。
结论
尽管育龄期女性腹腔积血最常见的妇科原因是异位妊娠破裂，但也应考虑子宫内膜异位症，尤其是在排除妊娠之后。
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