经会阴盆底超声诊断侵袭性血管粘液瘤1例
Journal of Medical Imaging（2018）
Abstract
患者女,29岁.因发现下腹部包块半年入院.查体:下腹部可触及一大小约6cm×10cm包块,妇科内诊及肛门指诊可触及肿物,质软,表面光滑,活动度可,无明显压痛.盆底超声扫查:阴道后壁后方与直肠前壁前方可见一中等回声,呈U字型,大小为138mm×116mm,与阴道后壁与直肠前壁分界清,内部回声尚均匀,边界清,形态不规整,探头加压后内部有流动感(图1,2);扫查过程中未见明确疝口,变动体位未见向腹腔侧移动,增加腹压包块未见明显增大;CDFI:可探及少许血流信号;Valsalva动作:肿块凸向会阴,外观并可见右侧大阴唇明显隆起;超声提示:盆腔内占位,考虑侵袭性血管粘液瘤?
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