التفاصيل البيبلوغرافية
| العنوان: |
Acute hemorrhage related to spontaneous rupture of an uterine fibroid: a rare case report. |
| المؤلفون: |
Bastu, E., Akhan, S. E., Ozsurmeli, M., Galandarov, R., Sozen, H., Gungor-Ugurlucan, F., Iyibozkurt, A. C. |
| المصدر: |
European Journal of Gynaecological Oncology; 2013, Vol. 34 Issue 3, p271-272, 2p |
| مستخلص: |
The authors present smooth muscle tumors of uncertain malignant potential (STUMP) diagnosis and surgical management of a spontaneously-ruptured degenerated uterine fibroids. A 48-year-old nulliparous presented with a two-day history of abdominal pain, bloating, constipation, and menorrhagia. Within eight hours, her distress level increased. Computed tomography (CT) scanning of the abdomen showed a large, 31 x 25 cm solid-cystic lesion. An emergency laparotomy was indicated. Surgery revealed approximately 2,000 cc of blood and a 30 cm degenerated uterine fibroid with a fundal rupture, cystic, and solid components extending to the lower pole of the liver. Pathology results noted mild nuclear atypia, six mitoses per ten high-power fields (hpf) and necrosis spread that was not coagulative with a STUMP diagnosis. STUMP presents a problematic group of uterine smooth muscle tumors for any clinician. In addition, STUMP can rarely cause acute complications like a rupture. Therefore, prompt diagnosis and effective management are important. [ABSTRACT FROM AUTHOR] |
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