Laparotomická myomektómia spontánne perforovaného myómu imitujúceho pseudomyxóm peritonea v 27. gestačnom týždni

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Autoři: E. Korňanová ¹; Ľ. Hammerová ¹; M. Jezberová ²; M. Borovský ¹
Působiště autorů: Department of Magnetic Resonance Imaging, Bratislava, Slovakia, head of department MUDr. V. Belan, PhD. ²; st Department of Gynaecology and Obstetrics. Faculty of Medicine, Comenius University, Bratislava, Slovakia, head of department prof. MUDr. M. Borovský, CSc. ¹¹
Vyšlo v časopise: Ceska Gynekol 2020; 85(6): 403-407
Kategorie: Kazuistika

Souhrn

Cieľ štúdie: Predstaviť ojedinelý prípad náhlej brušnej príhody v 27. týždni gravidity spôsobenej perforovaným leiomyómom imitujúcim pseudomyxóm peritonea na magnetickej rezonancii.

Typ práce: Case report.

Názov a sídlo pracoviska: I. gynekologicko-pôrodnícka klinika LF UK a UNB, Bratislava.

Vlastné pozorovanie: Predstavujeme raritný prípad náhlej brušnej príhody vzniknutej perforáciou myómu v gravidite, na magnetickej rezonancii imitujúcej pseudomyxóm peritonea. Úspešne sme vykonali laparotomickú myomektómiu a gravidita pokračovala do 40. gestačného týždňa, kedy bola ukončená cisárskym  rezom.

Záver: Myómy v tehotenstve vedú k mnohým komplikáciam. Pri náhlych brušných príhodách v tehotenstve musí byť vykonaná dôsledná diagnostika. Následný chirurgický zásah by mal byť dobre prehodnotený.

Klíčová slova:

myomectomy – Pregnancy – perforated leiomyoma – Magnetic resonance imaging – ultrasound

Zdroje

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