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Akutes Abdomen während der Schwangerschaft

Acute abdomen during pregnancy

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Zusammenfassung

Eine 29-jährige I-Gravida Nullipara stellte sich in der 22 + 6 SSW aufgrund eines akuten Abdomens vor. Bildgebend zeigten sich disseminierte Raumforderungen unklarer Herkunft. Es erfolgten eine Explorativlaparotomie mit Omentektomie,unilateraler Adnektomie und ein Tumordebulking im Bereich des Kolons. Histologisch ergab sich der Befund einer ausgedehnten Leiomyomatosis peritonealis disseminata (LPD). Wegen massiven Wachstums der verbliebenen Tumoren wurde in der 28 + 6 SSW eine Sectio caesarea erforderlich. Postpartal kam es zu einer spontanen Rückbildung der LPD.

Abstract

A 29-year-old gravida 1 in the 22+6/7 weeks of gestation presented with symptoms of an acute abdomen. Abdominal ultrasound and magnetic resonance imaging (MRI) showed disseminated intra-abdominal masses of uncertain origin. Explorative laparotomy with omentectomy, unilateral adnectomy and tumor debulking (colon) was performed. Histopathological examination revealed benign tumors classified as disseminated peritoneal leiomyomatosis (DPL).

Due to increasing abdominal pain and excessive growth of residual tumors a Cesarean section was necessary in the 28+6/7 weeks of gestation. A spontaneous regression of the DPL occurred postpartum.

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Authors and Affiliations

  1. Klinik für Gynäkologie und Geburtshilfe, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3, Haus 24, 24105, Kiel, Deutschland

    B. Summa & A. Strauss

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  1. B. Summa
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  2. A. Strauss
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Correspondence to B. Summa.

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Summa, B., Strauss, A. Akutes Abdomen während der Schwangerschaft. Gynäkologe 44, 750–753 (2011). https://doi.org/10.1007/s00129-011-2814-7

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  • DOI: https://doi.org/10.1007/s00129-011-2814-7

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