Giant uterine tumor and miscarriage: how to proceed?

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2024-05-03 eCollection Date: 2024-01-01 DOI:10.1590/1414-431X2024e13549
E A Hase, L L Iervolino, H A Antico, N Bozzini, R P V Francisco
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引用次数: 0

Abstract

Expanding uterine masses can be the cause of pregnancy loss and add technical difficulties to uterus evacuation due to the intense anatomical distortion of the endocervical canal and uterine cavity. The literature is scarce in the peculiarities of the management of missed abortions in uterus with important distorted anatomies. We report a case of a primigravida patient who presented a rapid and expressive increase of abdominal volume due to a giant uterine mass, evolving to miscarriage. Ultrasound can be a useful tool, allowing visualization of the endocervical path and uterine cavity, helping to perform uterine evacuation in the presence of anatomical distortion without compromising the reproductive future. To the best of our knowledge, no such case has been previously reported.

巨大子宫肿瘤和流产:如何处理?
由于宫颈内口和宫腔在解剖学上的严重变形,膨大的子宫肿块可能是导致妊娠失败的原因,并给子宫排空增加了技术难度。关于解剖结构严重扭曲子宫的漏诊流产的特殊处理方法的文献很少。我们报告了一例初产妇患者,她因巨大子宫肿块导致腹部体积急剧增大,最终导致流产。超声波是一种有用的工具,它可以显示宫颈内口和宫腔的情况,有助于在解剖结构变形的情况下进行子宫排空,而不会影响未来的生育。据我们所知,此前还没有此类病例的报道。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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