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一个leiomyoma的非创伤性流血

Colm Coyne¹, Workineh Getaneh Tadesse²

¹Gynaecology, Coombe Women and Infants University Hospital, Dublin, Ireland ccoyne@doctors.org.uk.

BMJ case reports

|March 25, 2025

概括

一个大,自由浮动的子宫纤维瘤 (乳腺瘤) 引起大量出血和疼痛. 手术切除 (肌肉切除术) 成功进行,暴露了周围器官的最小粘附.

科学领域:

妇科妇科医生妇科
生殖医学生殖医学
手术瘤学手术瘤学

背景情况:

在怀孕期间发现的有症状的子宫乳腺瘤 (纤维瘤).
产后MRI证实了一个大小10.5厘米的瘤.
由于质量效应,患者出现了严重的月经出血和骨盆疼痛.

研究的目的:

报告一个大型,自由浮动的子宫乳腺瘤病例.
为了描述症状的脚状或退化的瘤的外科治疗方法.
突出与不寻常的瘤呈现相关的诊断和手术挑战.

主要方法:

开放腹部肌切除术,用于症状性乳腺瘤.
术前成像 (MRI) 用于评估瘤的大小和位置.
记录了手术内发现,包括leiomyoma的异常移动性和粘附.

主要成果:

一个10.5厘米的瘤被发现是自由漂浮的,膜粘附量最小.
乳腺瘤松散地附着在膀圆顶,西格结肠和左输卵管上.
通过开放性肌肉切除术成功切除了瘤.

结论:

大型,自由浮动的瘤,虽然很少见,但可以引起显著的症状.
在这种情况下,开放性肌肉切除术是可行的手术选择.
仔细的手术前评估和手术内技术对于管理非典型瘤至关重要.

关键词:

产科,妇科和生育学以及生育学.在子宫,子宫.

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