A 53-year-old woman with diabetes, cirrhosis, and 3 previous cesarean section deliveries had postmenopausal bleeding and anemia (hemoglobin, 7.2 g/dL). Ultrasono-graphy revealed a small intramural myoma. Hysteroscopy and uterine curettage were nondiagnostic. Because of the anemia, laparoscopic hysterectomy was performed for definitive management of abnormal uterine bleeding. The procedure revealed a large omental adhesion to the anterior lower uterus, with multiple serpiginous, large (>1 cm), dilated, blue veins (Fig. 1), representing ectopic omental-uterine varices. The veins were coagulated with a PK coag-ulator. Laparoscopic hysterectomy was performed rather than variceal ligation to prevent recurrent varices.
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机译：一名53岁，患有糖尿病，肝硬化和分娩前3次剖腹产的妇女有绝经后出血和贫血（血红蛋白，7.2 g / dL）。超声检查发现小壁内肌瘤。宫腔镜检查和子宫刮除术不能诊断。由于贫血，进行了腹腔镜子宫切除术以明确处理异常子宫出血。该手术显示大网膜附着于子宫前下部，并有多处呈蛇形，大（> 1 cm），扩张的蓝色静脉（图1），代表异位的网膜子宫静脉曲张。用PK凝结剂使静脉凝结。进行腹腔镜子宫切除术而不是静脉曲张结扎术，以防止静脉曲张复发。
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