Abstract:

The patient, a 51 year old female, was admitted to the hospital because of uterine leiomyoma. Her clinical symptoms were not obvious. She only had a long-term history of constipation and took laxatives intermittently, with poor effect. The gynecological examination after admission suggested that it was possible to freeze the pelvis. Combined with the findings during the operation, multiple adhesions and abscesses formed in the pelvis, and intestinal adhesions were serious. Finally, partial sigmoid colon resection and sigmoid colostomy were performed at the same time. According to this case, it also confirmed gynecological examination is important in clinical diagnosis and treatment.

Key words:

Pelvic infection, Pelvic adhesion, Constipation, Frozen pelvis

摘要：

患者，女，51岁，因子宫肌瘤入院，临床症状不明显，仅有长期便秘病史，间断服用泻药，效果不佳。入山东中医药大学附属医院妇科检查后提示冰冻骨盆可能，结合术中所见，盆腔内多发粘连、脓肿形成，肠粘连严重，最终同时行部分乙状结肠切除+乙状结肠造瘘术。结合本病例亦证实了妇科检查在临床诊疗中的重要性。

关键词:

盆腔炎, 盆腔粘连, 便秘, 冰冻骨盆