Aytül ESMER ÇORBACIOĞLU, Mehmet ÖZSÜRMELİ, Atıl YÜKSEL, İbrahim KALELİOĞLU, Recep HAS, Nevin BAKAR

Uterusun diffüz kavernöz hemanjiyomunun antenatal sonografik tanısı

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

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.

Keywords:

Cavernous hemangioma, Uterus, Antenatal diagnosis, Ultrasonography,

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