Necrosis of myoma node
- Written by Super User
- Published in Diseases of the genitourinary system
- 0 comments
For torsion of myomatous nodes, the disease develops acutely arise cramping abdominal pain, nausea, vomiting, chills, dry mouth, disturbed bowel function. Poor vascularity (malnutrition) myoma node, the clinical picture is more blurred, the symptoms appear gradually. The patient is concerned about dragging pain in the abdomen and lower back, they periodically intensify, weaken or disappear. At the time of the attack of pain can also be nausea, chills, fever, usually low grade values, tachycardia.
- What is necrosis of the myoma node
- What triggers / Causes necrosis of myoma node
- The symptoms of Necrosis of the myoma node
- Diagnosis of Necrosis of the myoma node
- Treatment of necrosis of the myoma node
- Which doctors should be consulted if You have necrosis of the myoma node
What is necrosis of the myoma node -
Uterine fibroids - the most common benign tumor of the internal genital organs. Necrosis of fibroids occurs in approximately 7 of patients with uterine myoma, often during pregnancy, postpartum or post-abortion period.
What triggers / Causes necrosis of myoma node:
Necrosis of myoma node can be associated either with torsion of the pedicle with subserous localization or insufficient vascularization. During pregnancy are prerequisites for necrosis of fibroids: reduced blood flow in the myometrium with increased vascular tone and impaired venous outflow. Should also take into account the rapid increase of fibroids in parallel with the growth of the pregnant uterus Necrosis is accompanied by the development of edema, hemorrhage, aseptic inflammation in the host. As the disease progresses, you may develop peritonitis.
The symptoms of Necrosis of the myoma node:
For torsion of myomatous nodes, the disease develops acutely arise cramping abdominal pain, nausea, vomiting, chills, dry mouth, disturbed bowel function. Poor vascularity (malnutrition) myoma node, the clinical picture is more blurred, the symptoms appear gradually. The patient is concerned about dragging pain in the abdomen and lower back, they periodically intensify, weaken or disappear. At the time of the attack of pain can also be nausea, chills, fever, usually low grade values, tachycardia.
Diagnosis of Necrosis of the myoma node:
Diagnosis of torsion or malnutrition myoma node is based on history data with an indication of uterine fibroids, complaints, clinical manifestations. During the physical examination can be pale skin, dry, coated bloom language. Belly swollen, tense, painful on palpation in the lower divisions, there are determined the positive symptoms of peritoneal irritation. Gynecologist- demand examination reveals enlarged, minutesno modified the uterus, pain in the site of necrosis of myoma node. Sometimes it is not possible to distinguish between subserous myoma node from a tumor of the ovary. In the peripheral blood revealed leukocytosis, increased ESR. Additional non-invasive methods of research has the value of ultrasound scanning of the pelvic organs, by which one can detect the signs of malnutrition in myomatous node (reduction and heterogeneity echographic density, the appearance of cavities in liquid node). Informative method of diagnosis is laparoscopy. Upon visual inspection of the pelvic organs is possible to define an enlarged myomatous uterus with torsion and necrosis (swelling, bleeding, bluish-purple color) subserous site.
Treatment of necrosis of the myoma node:
Treatment for torsion subserous myoma node is in emergency surgery. The extent of surgical intervention depends largely on the severity of necrotic changes in the node, involvement of the peritoneum in the pathological process (signs of peritonitis), the age of the patient. In girls, women of reproductive age and in pregnant women with necrosis of myoma node without symptoms of peritonitis should aim to include conservative surgery, limited to conservative myomectomy. In patients in pre - and postmenopausal women performed supravaginal amputation or hysterectomy.
In case of violation of the power of myomatous nodes emergency care begin with fluid therapy to reduce intoxication and normalization of water-electrolyte balance. Use tools, improving microcirculation, antispasmodics and anti-inflammatory drugs. The effectiveness of conservative treatment appreciate over the next 24-48 h. When the deterioration, aggravation of symptoms, failure of conservative therapy or signs of peritonitis shows emergency surgery. The volume of surgery is determined individually depending on changes identified during bimanual examination.
Which doctors should be consulted if You have necrosis of the myoma node:
Gynecologist
Super User
Latest from Super User
- The average floor. Gender identity.
- Bactrim
- Bekarbon
- Baralgin
- Baktisubtil