Prenatally diagnosed segmental intestinal dilatation associated with anorectal malformation.

J P Camacho, J E Udaquiola, D H Liberto, P X de la Iglesia, P A Lobos
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Abstract

Introduction: Congenital segmental intestinal dilatation has a low incidence within the differential diagnoses of fetal abdominal cyst masses. Suspicion may arise at prenatal ultrasonography, but diagnosis is confirmed at surgery and subsequently at histopathological analysis. There are various theories available to explain its etiopathogenesis. Association with anorectal malformations is rare.

Clinical case: Newborn prenatally diagnosed with an abdominal cystic mass and diagnosed at birth with an associated anorectal malformation, with postoperative confirmation of segmental intestinal dilatation.

Discussion: Segmental intestinal dilatation should be considered within the differential diagnoses when an abdominal cystic mass is prenatally detected at ultrasonography. Association with anorectal malformations at birth has been described, but it is unusual. Suspicion allows diagnosis and adequate treatment to be established.

产前诊断为伴有肛门直肠畸形的节段性肠管扩张。
导言:先天性节段性肠管扩张在胎儿腹腔囊肿的鉴别诊断中发病率较低。产前超声检查时可能会产生怀疑,但手术及随后的组织病理学分析可确诊。有多种理论可以解释其发病机制。与肛门直肠畸形有关的病例很少见:临床病例:产前诊断为腹部囊性肿块的新生儿,出生时诊断为伴有肛门直肠畸形,术后确诊为节段性肠管扩张:讨论:当产前超声波检查发现腹部囊性肿块时,应在鉴别诊断中考虑节段性肠扩张。出生时与肛门直肠畸形伴发的情况也有描述,但并不常见。通过怀疑可以确诊并进行适当的治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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