子宫动脉栓塞加子宫切除术治疗非妊娠嵌顿性子宫平滑肌瘤1例

AJOG global reports Pub Date : 2025-02-01 DOI:10.1016/j.xagr.2025.100449

Katherine Kuo MD , Signy Holmes MD, FRCPC , Jen Tomlinson RN , Peter Klippenstein MD, FRCSC , Elly Trepman MD , John M. Embil MD, FRCPC

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引用次数: 0

摘要

背景：非妊娠患者的嵌顿子宫是罕见的，通常与子宫平滑肌瘤有关。子宫动脉栓塞可以治疗子宫肌瘤，但据报道，栓塞很少用于治疗非妊娠子宫嵌顿。病例1:50岁，妊娠2期，女性，急性腹部和腹部疼痛，尿潴留。病史包括子宫平滑肌瘤和肾结石。体格检查显示子宫增大（大小，22周）。磁共振显示子宫嵌顿，膀胱出口完全梗阻，子宫内翻增大，并有平滑肌瘤。她接受了留置Foley导管，术前子宫动脉栓塞和全腹部子宫切除术。结论术前子宫动脉栓塞治疗计划生育妇女非妊娠嵌顿子宫合并平滑肌瘤可作为子宫切除术的有效辅助手段。

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Nongravid incarcerated uterus with leiomyomas treated with uterine artery embolization and hysterectomy: a case report

Background

The incarcerated uterus in the nongravid patient is rare, and usually is associated with uterine leiomyomas. Leiomyomas may be treated with uterine artery embolization, but the use of embolization has been reportedly rarely in treating nongravid uterine incarceration.

Case

A 50-year-old gravida 2 para 2 woman presented with acute abdominal and flank pain and urinary retention. Her medical history included uterine leiomyomas and nephrolithiasis. Physical examination showed an enlarged uterus (size, 22 weeks). Magnetic resonance imaging showed an incarcerated uterus, complete bladder outlet obstruction, uterine retroflexion and enlargement, and leiomyomas. She was treated with an indwelling Foley catheter, preoperative uterine artery embolization, and total abdominal hysterectomy.

Conclusion

Preoperative uterine artery embolization may be a useful adjunct to hysterectomy in the treatment of the nongravid incarcerated uterus associated with leiomyomas in women who have completed family planning.

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来源期刊

AJOG global reports Endocrinology, Diabetes and Metabolism, Obstetrics, Gynecology and Women's Health, Perinatology, Pediatrics and Child Health, Urology

CiteScore

1.20

自引率

0.00%

发文量