软化斑是一种罕见的疾病,其特征是慢性和肉芽肿性炎症,很少涉及女性生殖道。我们描述了剖腹产后出现子宫内膜软化斑的第一例患者的生态和组织学演变。病人,一个43岁的女人,剖宫产分娩后一个月出现盆腔疼痛,最初怀疑是保留胎盘休息。我们讨论了这种罕见疾病的诊断挑战,强调在临床表现相似的患者中考虑子宫内膜软化斑作为可能诊断的重要性,以及2D和3D超声在诊断途径中的重要作用。在文学中,子宫内膜软化膜的超声表现为子宫内膜内膜的低回声增厚;子宫肌层的高回声增厚,和群众的存在,结节,囊性区域,或子宫内膜内的消声液。第一次,我们通过两种超声来描述子宫内膜软化的演变,2D和3D,和组织病理学发现,从疾病的急性到慢性阶段。
Malacoplakia is an uncommon disease characterized by chronic and granulomatous inflammation, which rarely involves the female genital tract. We describe the ecographic and histological evolution of the first case of a patient developing endometrial
malacoplakia as a complication after a cesarean section. The patient, a 43-year-old woman, presented with pelvic pain one month after delivering by cesarean section and the initial suspicion was of retention of placental rests. We discuss the diagnostic challenges for this rare disease, highlighting the importance of considering endometrial
malacoplakia as a possible diagnosis in patients with similar clinical presentations and the important role of 2D and 3D ultrasound in the diagnostic pathway. In literature, ultrasound findings in cases of endometrial
malacoplakia are represented by hypoechoic thickening of the endometrial lining; hyperechoic thickening of the myometrium, and the presence of masses, nodules, cystic areas, or anechoic fluid within the endometrium. For the first time, we describe the evolution of endometrial
malacoplakia through both ultrasound, 2D and 3D, and histopathological findings, from the acute to chronic stage of the disease.