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 

机构地区：[1]Department of Pathology,Chonnam National University Hospital,Gwangju 61469,South Korea [2]Department of Pathology,Chonnam National University Hwasun Hospital,Hwasun 58128,South Korea [3]Department of Pathology,Chonnam National University Medical School,Gwangju 61469,South Korea

出　　处：《World Journal of Clinical Cases》2023年第32期7888-7894,共7页世界临床病例杂志

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

摘　　要：BACKGROUND Uterine rupture is a fatal medical complication with a high mortality rate.Most cases of uterine rupture occur in late pregnancy or during labor and are mainly related to uterine scarring due to previous surgical procedures.Adenomyosis is a possible risk factor for uterine rupture.However,spontaneous uterine rupture due to severe adenomyosis in a non-gravida-teenaged female has not been reported in the literature to date.CASE 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 mmHg.Radiologic studies revealed a huge endometrial mass with multiple nodules in the lung,suggesting lung metastasis.The patient underwent an emergency total hysterectomy and wedge resection of the lung nodules.Histologically,the uterus showed diffuse adenomyosis with glandular and stromal dissociation.Lung nodules were endometrioma with massive hemorrhage.Immunohistochemistry demonstrated that the tumor cells were positive for PAX8,ER,and PR expression,leading to a final diagnosis of pulmonary endometriosis and uterine adenomyosis.Following surgery,the patient remains in good condition without recurrence.CONCLUSION This is the first case of spontaneous uterine rupture due to adenomyosis in a nongravida adolescent.

关 键 词：UTERUS ADENOMYOSIS MALIGNANCY ENDOMETRIOMA Case report 

分 类 号：R735.31[医药卫生—肿瘤]