Journal of International Reproductive Health/Family Planning ›› 2021, Vol. 40 ›› Issue (2): 118-120.doi: 10.12280/gjszjk.20200413

• Case Report • Previous Articles     Next Articles

Cotyledonoid Hydropic Intravenous Leiomyomatosis: A Case Report

LIU Xiao-hui, JIANG Meng-xue, YU Jing-jing, ZHANG Shi-kai, ZHI Li, TIAN Geng()   

  1. Department of Obstetrics and Gynecology, The Second Hospital of Jilin University, Changchun 130000, China(LIU Xiao-hui, YU Jing-jing, ZHANG Shi-kai, ZHI Li, TIAN Geng); Department of Obstetrics and Gynecology, Jining People′s Hospital, Jining 272000, Shandong Province, China (JIANG Meng-xue)
  • Received:2020-07-15 Published:2021-03-15 Online:2021-03-24
  • Contact: TIAN Geng E-mail:tiangeng71@foxmail.com

Abstract:

The cotyledonoid hydropic intravenous leiomyomatosis (CHIL) is a rare benign uterine leiomyomatosis that involves the vessels of cotyledonoid dissecting leiomyoma of the uterus (CDLU). It may also be characterised by intravenous leiomyomatosis (IVL). The auxiliary examination mainly showed the appearance of low-echo light mass in the uterine wall and the rich blood flow. The exploratory laparotomy showed the uterine fibroids with rich blood circulation and soft grayish red like placental lobules. During the myoma elimination, some small vessels could be seriously damaged by myomas, and the slender myoma-like lesions could be brought out from the small vessels. We report a case of CHIL, review the literatures and summarize the diagnosis and treatment of this disease, so as to guide the clinical practice.

Key words: Leiomyoma, Leiomyomatosis, Uterine neoplasms, Veins, Case reports