Uterusun diffüz kavernöz hemanjiyomunun antenatal sonografik tanısı

Yıl 2014, Cilt: 27 Sayı: 2, 134 - 137, 20.05.2014

Aytül Çorbacıoğlu Esmer Mehmet Özsürmeli Atıl Yüksel İbrahim Kalelioğlu Recep Has Nevin Bakar

Öz

Uterusun kavernöz hemanjiyomu, endometriyal polip veya myoma
benzeyen bir kitle şeklinde ortaya çıkabileceği gibi (lokalize tip),
uterus duvarında normal myometriumun yerini alan geniş vaskuler
boşluklar şeklinde de (diffüz tip) görülebilir. Genellikle
asemptomatiktir, ancak jinekolojik pratikte menometroraji ve
infertilite şeklinde, obstetrik hastalarda ise intrapartum veya
postpartum kanama ya da tromboembolizm şeklinde ortaya çıkabilir.
Diffüz kavernöz hemanjiyom, türbülan akım içeren kavernöz
boşluklarla dolu kalınlaşmış uterus duvarı görüntüsüyle, rutin
antenatal ultrasonografi incelemesi sırasında nadiren saptanabilir.
Fetusta ağır gelişme geriliği olan, sezaryen sırasında ve sonrasında
hemorajik komplikasyon gelişmeyen ve antenatal dönemde tanısı
koyulan bir diffüz kavernöz hemanjiyom olgusu sunmaktayız.

Anahtar Kelimeler

Kavernöz hemanjiyom, Uterus, Antenatal tanı, Ultrasonografi

Antenatal sonographic diagnosis of diffuse cavernous hemangioma of the uterus

Öz

Cavernous hemangioma of the uterus may be either localized
presenting as an endometrial polyp or a uterine mass mimicking
myoma, or as a diffuse mass in which most of the uterine wall is
composed of enlarged vascular spaces replacing the normal
myometrium. It is usually asymptomatic, but can present with
menometrorrhagia and infertility in gynecological practice, and
intra or postpartum bleeding or thromboembolism in obstetric
patients. Diffuse cavernous hemangioma can be seldom, identified
during routine antenatal ultrasonographic examination as the
thickened uterine wall composed of cavernous fluid-filled spaces
with turbulent flow. We present an antenatally diagnosed case of
diffuse cavernous hemangioma in which the fetus was severely
growth-restricted. Caesarean section was performed successfully
without any intra or postpartum hemorrhage. 

Anahtar Kelimeler

Cavernous hemangioma, Uterus, Antenatal diagnosis, Ultrasonography

Kaynakça

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