Unusually enlarged uterus during pregnancy

Introduction In order to adapt to the growth of the fetus after pregnancy, the uterus continues to increase. The abnormal increase of the uterus during pregnancy may be hydatidiform mole, and there are multiple pregnancies and excessive amniotic fluid. Therefore, you should go to the hospital for examination, mainly to exclude the moles.

Cause

May be hydatidiform mole, too much amniotic fluid, multiple pregnancy.

an examination

Related inspection

Obstetric B super amniotic fluid volume

The uterus of the hydatidiform mole is abnormally enlarged and softened: due to the edema of the villus and the uterine hemorrhage, the uterus of about 2/3 of the hydatidiform mole is larger than the normal uterus of the corresponding month, and the texture is extremely soft, due to the enlarged hyperplasia of the uterine cavity. Trophoblasts, often accompanied by a significant increase in HCG. The uterus size of 1/3 of patients is consistent with the menopause month. Only a small number of uterus less than the menopause month may be due to the degeneration of blisters and the cessation of development. Multiple pregnancy: Multiple pregnancy uterus is larger than single pregnancy, hcg level is also slightly higher, but no vaginal bleeding, ultrasound examination can help to diagnose excessive amniotic fluid, abnormal uterus in the middle and late pregnancy is a clinical manifestation of polyhydramnios.

Differential diagnosis

Differential diagnosis of abnormal uterus during pregnancy: uterine enlargement with non-pregnant factors:

1, uterine fibroids uterine fibroids in any part of the uterus will increase the uterus, multiple fibroids will increase the uterus and irregular shape; when the fibroids degeneration, its volume will suddenly increase, or accompanied by pain, irregular vagina Bleeding.

2, adenomyosis This is due to the endometrium to the middle of the myometrium to grow the uterus, menstrual period uterus enlargement is more obvious, accompanied by severe dysmenorrhea, the uterus in addition to the increase in the texture is often hard, The activity is also poor.

3, uterine hypertrophy is also called uterine chronic myositis. This enlargement of the uterus is hard and often has a history of prolificacy or multiple manual flows.

4, functional uterine bleeding premenopausal functional uterine bleeding will also make the uterus enlarge, but often slightly increased, the uterus is uniform.

5, endometrial cancer generally occurs in 55-60 years old. The enlarged uterus has a soft texture and is characterized by irregular vaginal bleeding.

6. Uterine sarcoma is a uterine tumor with a high degree of malignancy. The uterus is rapidly enlarged with abdominal pain, vaginal bleeding, and difficulty urinating. Pelvic examination often involves metastasis of metastases or other organs such as the lungs.

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