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Uterine rupture due to adenomyosis in an adolescent:A case report and review of literature

作     者:Nah Ihm Kim Ji Shin Lee Jong Hee Nam 

作者机构:Department of PathologyChonnam National University HospitalGwangju 61469South Korea Department of PathologyChonnam National University Hwasun HospitalHwasun 58128South Korea Department of PathologyChonnam National University Medical SchoolGwangju 61469South Korea 

出 版 物:《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期:2023年第11卷第32期

页      面:7888-7894页

核心收录:

学科分类:1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基  金:the Chonnam National University Hospital Biomedical Research Institute No.BCRI22011 

主  题:Uterus Adenomyosis Malignancy Endometrioma Case report 

摘      要:BACKGROUND Uterine rupture is a fatal medical complication with a high mortality *** cases of uterine rupture occur in late pregnancy or during labor and are mainly related to uterine scarring due to previous surgical *** is a possible risk factor for uterine ***,spontaneous uterine rupture due to severe adenomyosis in a non-gravida-teenaged female has not been reported in the literature to *** SUMMARY A 16-year-old girl was referred to our hospital for acute abdominal pain and hypovolemic shock with a blood pressure of 90/50 *** studies revealed a huge endometrial mass with multiple nodules in the lung,suggesting lung *** patient underwent an emergency total hysterectomy and wedge resection of the lung ***,the uterus showed diffuse adenomyosis with glandular and stromal *** nodules were endometrioma with massive *** demonstrated that the tumor cells were positive for PAX8,ER,and PR expression,leading to a final diagnosis of pulmonary endometriosis and uterine *** surgery,the patient remains in good condition without *** This is the first case of spontaneous uterine rupture due to adenomyosis in a nongravida adolescent.

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