METHODS: A 45-year-old female presented with a history of abdominal distension, abdominal pain, and bilateral lower limb swelling for 1 year. An abdominal Computed Tomography (CT) scan with contrast and Magnetic Resonance Imaging (MRI) revealed a large multilobulated mass in the pelvis measuring 14.3 × 7.4 × 21.1 cm. The mass displaces and compresses the urinary bladder anteriorly and the rectosigmoid colon posteriorly. Additionally, there is compression of the distal ureters bilaterally with resultant bilateral hydroureteronephrosis. The patient underwent explorative laparotomy and post-operative recovery was uneventful. The final histopathological report showed the diagnosis of uterine fibroid.
UNASSIGNED: In this case report, we discuss the condition\'s rarity, related reports in the literature, and the numerous difficulties clinicians face when encountering a patient with cervical leiomyomas.
CONCLUSIONS: This case highlights the importance of long-term follow-up for patients post-supracervical hysterectomy, adds to the existing literature, and provides insight to healthcare providers in handling similar cases. Patients who are affected should receive appropriate counseling on postoperative care, recurrence after treatment, and the value of early and regular follow-up visits.
方法:一名45岁女性,有腹胀史,腹痛,双侧下肢肿胀1年。腹部计算机断层扫描(CT)增强扫描和磁共振成像(MRI)显示骨盆中有一个大的多小叶肿块,大小为14.3×7.4×21.1cm。肿块向前移位并压迫膀胱,向后移位并压迫直肠乙状结肠。此外,双侧输尿管远端受压,导致双侧输尿管肾积水。患者接受了剖腹探查术,术后恢复顺利。最终的组织病理学报告显示诊断为子宫肌瘤。
■在此案例报告中,我们讨论条件的稀有性,文献中的相关报道,以及临床医生在遇到宫颈平滑肌瘤患者时面临的许多困难。
结论:这个案例强调了宫颈上子宫切除术后患者长期随访的重要性,增加了现有的文献,并为医疗保健提供者处理类似案件提供见解。受影响的患者应接受适当的术后护理咨询,治疗后复发,以及早期和定期随访的价值。