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首页> 外文期刊>Contraception >When uterine leiomyomas complicate uterine evacuation....
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When uterine leiomyomas complicate uterine evacuation....

机译：当子宫平滑肌瘤使子宫排空复杂化时...

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Case: A 38-year-old G4P2012 woman at 12 weeks' gestation was referred to me for an abortion. She had been turned away by several providers due to the presence of a large lower uterine segment fibroid that made her cervix inaccessible. Her obstetric history was significant for two prior spontaneous vaginal deliveries and one spontaneous abortion. She had no other medical history and no prior surgeries. Pelvic ultrasound revealed a 12x9x8-cm fibroid in the posterior lower uterine segment. On physical exam, the fibroid displaced the cervix anteriorly between the fibroid and the pubic symphysis. The cervix was not visualizable by speculum exam, but was palpable on bimanual exam, just behind the symphysis pubis. The patient stated that she had been previously asymptomatic from the myoma. She had completed her childbearing.
机译：病例：一名12周妊娠的38岁G4P2012妇女因流产被转介给我。由于存在子宫下段较大的子宫肌瘤，使她无法接近子宫颈，因此她被多家医疗机构拒之门外。她的产科史对于之前两次自然阴道分娩和一次自然流产很重要。她没有其他病史，也没有手术。骨盆超声检查显示子宫下后段有12x9x8-cm肌瘤。在体格检查中，肌瘤使子宫颈在肌瘤和耻骨联合之间向前移位。子宫颈镜不能通过窥镜检查看到，但可以在双侧检查中触及，位于耻骨联合的后面。病人说她以前没有肌瘤症状。她已经完成了分娩。

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