Analysis of Gestation Complicated with Colonic Neoplasms Misdiagnosed as Hematoma Under Abdominal Wall
HUANG Bai-ling
WANG Ting-ting
FENG Gui-ping
ZHOU Jin
Abstract：Objective To explore misdiagnosis causes of gestation complicated with colonic neoplasms and to provide preventive measures. Methods Clinical data of one patient with gestation complicated with colonic neoplasms misdiagnosed as having hematoma under abdominal wall was retrospectively analyzed. Results The patient was admitted for suppressed menstruation for 28 +2 weeks and continuous hypogastralgia with a small amount of vagina bleeding for 2 h. The diagnosis of pre-eclampsia (severe), placental abruption and anemia (severe) was given after gynecological examination, routine blood test and ultrasonography. The emergency cesarean delivery operation was performed to save the patient's life, but the patient had the left midabdomen pain during postoperative corresponding treatment, and then hematoma under abdominal wall and complete intestinal obstruction were suspected. A 15 cmí8 cmí4 cm lump in the middle of sigmoid colon was found during the exploratory laparotomy, and the serous spindle cell tumor of colon was confirmed by postoperative pathologic diagnosis. The patient was transferred to general surgery department for continous treatment after the condition became stable. Conclu-sion The main misdiagnosis causes of gestation complicated with colonic neoplasms are uncharacteristic clinical symptoms, limited diagnosis thinking and lack of clinical experience.
Keywords：Pregnancy complicationColonic neoplasmMisdiagnosisHematoma under the abdominal wall
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 26-28 )