PDF(Pubmed)
Abstract：
Uterine leiomyomas (ULs) are common benign tumors seen in a large percent of women that can be classified based on their location within the uterus. They can cause a number of pelvic complications and can be managed medically, but more often surgically. Uterine pyomyomas often occur postpartum, possibly from infarction, and can lead to degeneration and sepsis. Our patient presents with a two-month development of a potential pyomyoma, found initially on computed tomography (CT). Office exam reveals a protruding mass from the cervical os, and removal was attempted but ultimately postponed for general anesthesia exam due to pain. The leiomyoma was removed and shown to be necrosing. Pyomyomas are often insidious and can often mimic other concerning pathologies. Modern imaging can show lesions within the pelvis but struggle to determine between fluid collection and possible infarcted masses. The importance of quality care measures in cases like this deserve to be emphasized to prevent serious complications.
摘要：
子宫平滑肌瘤（ULs）是常见的良性肿瘤，在很大一部分女性中可以根据其在子宫内的位置进行分类。它们可以引起许多骨盆并发症，并且可以进行医学管理，但更常见的是手术。子宫肌瘤常发生在产后，可能是梗塞,并可能导致变性和败血症。我们的病人出现了两个月的潜在化脓性肌瘤，最初在计算机断层扫描（CT）上发现。办公室检查显示子宫颈有突出的肿块，并尝试切除，但最终因疼痛而推迟进行全身麻醉检查。切除平滑肌瘤并显示坏死。化脓性肌瘤通常是阴险的，并且通常可以模仿其他有关的病理。现代成像可以显示骨盆内的病变，但难以在液体收集和可能的梗塞肿块之间进行确定。在这种情况下，质量护理措施的重要性值得强调，以防止严重的并发症。
