临床误诊误治2025，Vol.38Issue(2)：20-24,5.DOI:10.3969/j.issn.1002-3429.2025.02.005
误诊为盆腔包块的子宫附腔畸形原因分析
Causes of Malformation of Uterine Appendage Misdiagnosed as Pelvic Mass
李冰 1吴朋文 2牛三强 2杜宁宁3
作者信息
- 1. 233000 安徽 蚌埠,蚌埠医科大学研究生院
- 2. 236800 安徽 亳州,亳州市人民医院妇产科
- 3. 236800 安徽 亳州,亳州市人民医院生殖医学科
- 折叠
摘要
Abstract
Objective To improve the understanding of accessory cavitated uterine malformation(ACUM)and to re-duce the misdiagnosis rate of ACUM.Methods The clinical data of an ACUM patient initially diagnosed with pelvic mass in April 2024 were retrospectively analyzed.Results A 37-year-old woman was admitted to the hospital due to small pelvic mass detected during physical examination in other hospitals,which was not paid attention to and left untreated.After regular follow-up,the mass was found to be gradually increasing.Considering the nature of pelvic masses to be unknown,laparoscopic exploration was performed after improving the preoperative examination to find the cavity and endometrioid tissue,and hyster-ectomy was given.Postoperative pathological examination revealed ACUM.The misdiagnosis lasted more than 1 year.After 4 months of follow-up,the patient recovered well and no other complications or discomfort were observed.Conclusion ACUM is a kind of disease with very low incidence that is prone to misdiagnosis and missed diagnosis,and there are no specific symp-toms in the early clinical stage.When receiving such patients,clinicians should timely broaden their diagnostic thinking and consider the possibilities of more diseases,so as to reduce the risk of misdiagnosis.关键词
子宫附腔畸形/误诊/盆腔包块/痛经/苗勒管畸形/鉴别诊断Key words
Accessory cavitated uterine malformation/Misdiagnosis/Pelvic mass/Dysmenorrhea/Mullerian duct malformation/Differential diagnosis分类
医药卫生引用本文复制引用
李冰,吴朋文,牛三强,杜宁宁..误诊为盆腔包块的子宫附腔畸形原因分析[J].临床误诊误治,2025,38(2):20-24,5.
