阴式子宫切除术结合子宫分碎术后的间质肌瘤型子宫内膜异位症患者因子宫不完全切除而出现周期反复性剧烈疼痛

• 作 者: Kü hne L.er S. P. M. Kolben 王雅楠
• 机 构: Frauenarztpraxis, Ruffiniallee 17, 82166 Gr felf- ing, Germany Dr.
• 出 处: 世界核心医学期刊文摘(妇产科学分册)
• 发表日期: 2005年06期
• 关键词: 子宫内膜异位症 子宫切除术 宫分 结合子 肌瘤 子宫 间质 全子宫切除术 下腹壁 实体瘤

Endometriosis is a possible and likely cause of periodically recurrent pelvic pain in premenopausal women. We report on a patient with a history of a vaginal hysterectomy with morcellation of the uterus who presented with monthly recurrent heavy lower abdominal pain. A solid tumour adherent to the lower anterior abdominal wall was diagnosed. Surgery revealed a significant portion of the uterus that showed intramural endometriosis. After “ completion hysterectomy“ the patient was completely free of pain.

Endometriosis is a possible and likely cause of periodically recurrent pelvic pain in premenopausal women. We report on a patient with a history of a vaginal hysterectomy with morcellation of the uterus who presented with monthly recurrent heavy lower abdominal pain. A solid tumor adherent to the lower anterior abdominal wall was was diagnosed. Surgery revealed a significant portion of the uterus that showed intramural endometriosis. After ”completion hysterectomy " the patient was completely free of pain.