子宫平滑肌瘤引起的心内平滑肌瘤病——一个需要多学科腹腔镜开胸术的罕见病例。

IF 1.2 Q3 OBSTETRICS & GYNECOLOGY
Journal of Mid-life Health Pub Date : 2023-01-01 Epub Date: 2023-07-07 DOI:10.4103/jmh.jmh_47_23
T V Murali, Reshma Sara Thomas, Manjusha Narayana Pilllai, Anitha Gopal
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引用次数: 0

摘要

一位37岁的女士在妇科接受腹部疼痛评估时,发现盆腔肿块怀疑卵巢癌症,标志物呈阴性。在增强计算机断层扫描中,卵巢静脉血栓形成延伸至右心房。氟脱氧葡萄糖正电子发射断层扫描计算机断层扫描排除了任何其他病变。患者在全身麻醉下接受了经食道超声心动图监测心房血栓的手术。术中,腹膜后肿块出现在子宫右侧附件区,延伸至腰部。在子宫切除术、双侧输卵管卵巢切除术、肿瘤切除术、腹膜后血管裸露和环切术后,进行了胸骨切开术,并对她进行了体外循环。肿瘤血栓有两条肢体,均来自肿块,一条通过卵巢,另一条通过髂静脉,在下腔静脉(IVC)内连接在一起。通过切除卵巢交界处的静脉、心房切口、髂静脉和IVC上的切口,一次性将血栓完全清除。最终组织病理学检查显示静脉内平滑肌瘤病,无恶性肿瘤。我们报告这是一种罕见的疾病,卵巢和髂血栓是一种更为罕见的疾病。多部门的联合努力取得了成功。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Intracardiac Leiomyomatosis Arising from a Uterine Leiomyoma - A Rare Case Requiring a Multidisciplinary Laparotomy-Thoracotomy Approach.

Intracardiac Leiomyomatosis Arising from a Uterine Leiomyoma - A Rare Case Requiring a Multidisciplinary Laparotomy-Thoracotomy Approach.

Intracardiac Leiomyomatosis Arising from a Uterine Leiomyoma - A Rare Case Requiring a Multidisciplinary Laparotomy-Thoracotomy Approach.

Intracardiac Leiomyomatosis Arising from a Uterine Leiomyoma - A Rare Case Requiring a Multidisciplinary Laparotomy-Thoracotomy Approach.

A 37-year-old lady, when being evaluated in gynecology for pain in the abdomen, was found to have a pelvic mass suspicious of ovarian cancer with markers negative. There was an ovarian vein thrombosis extending to the right atrium in the contrast-enhanced computed tomography scan. A fluorodeoxyglucose positron emission tomography-computed tomography ruled out any other lesions. The patient underwent surgery under general anesthesia with transesophageal echocardiography to monitor the atrial thrombus. Intraoperatively, a retroperitoneal mass is seen arising from the right adnexal region of the uterus extending to the lumbar area. After the hysterectomy, bilateral salpingo-oophorectomy, tumor resection, and baring and looping of the retroperitoneal vessels, a sternotomy was done, and she was put on cardiopulmonary bypass. The tumor thrombus had two limbs both arising from the mass, one through the ovarian and the second through the iliac veins and joining together inside the inferior vena cava (IVC). With the excision of the ovarian vein at its junction, atrial incision, and incisions over the iliac veins and IVC, the thrombus was removed completely in a single sitting. Final histopathology revealed intravenous leiomyomatosis and no malignancy. We report this case as a rare disease, with both ovarian and iliac thrombus being a further rarity and a multidepartment joint effort with a successful outcome.

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来源期刊
Journal of Mid-life Health
Journal of Mid-life Health Social Sciences-Health (social science)
CiteScore
1.70
自引率
9.10%
发文量
39
审稿时长
43 weeks
期刊介绍: Journal of mid-life health is the official journal of the Indian Menopause society published Quarterly in January, April, July and October. It is peer reviewed, scientific journal of mid-life health and its problems. It includes all aspects of mid-life health, preventive as well as curative. The journal publishes on subjects such as gynecology, neurology, geriatrics, psychiatry, endocrinology, urology, andrology, psychology, healthy ageing, cardiovascular health, bone health, quality of life etc. as relevant of men and women in their midlife. The Journal provides a visible platform to the researchers as well as clinicians to publish their experiences in this area thereby helping in the promotion of mid-life health leading to healthy ageing, growing need due to increasing life expectancy. The Editorial team has maintained high standards and published original research papers, case reports and review articles from the best of the best contributors both national & international, consistently so that now, it has become a great tool in the hands of menopause practitioners.
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