儿童膀胱假肉瘤性肌纤维母细胞瘤伴大量腹腔内出血

Pseudosarcomatous myofibroblastic tumor of the urinary bladder with massive intraperitoneal hemorrhage in a child.

作者信息

Okada K, Fujii Y, Uema K, Yoshimoto T, Nakatsu T, Yoshida T, Hasegawa T

机构信息

Division of Pediatrics, Komatsushima Red Cross Hospital, Tokushima, Japan.

出版信息

Acta Paediatr Jpn. 1998 Oct;40(5):470-3. doi: 10.1111/j.1442-200x.1998.tb01971.x.

DOI:10.1111/j.1442-200x.1998.tb01971.x

PMID:9821709

Abstract

A 3-year-old boy presented with persistent abdominal pain, hematuria and facial pallor with progressive anemia. A computed tomography scan showed a massive intraperitoneal hemorrhage and tumor mass in the bladder. Histological examinations of the resected tumor revealed findings of pseudosarcomatous myofibroblastic tumor (PMT). The clinico-pathological features of this case warn us that PMT can cause acute abdomen syndrome with massive intraperitoneal hemorrhage.

摘要

一名3岁男孩出现持续性腹痛、血尿及面色苍白伴进行性贫血。计算机断层扫描显示膀胱内有大量腹腔内出血及肿瘤肿块。对切除肿瘤的组织学检查显示为假肉瘤性肌成纤维细胞瘤（PMT）。该病例的临床病理特征提醒我们，PMT可导致伴有大量腹腔内出血的急腹症综合征。