先天性巨细胞病毒感染继发于大量腹水和羊水过少的肺发育不全1例。

IF 1.4 4区医学 Q3 ACOUSTICS

Journal of Clinical Ultrasound Pub Date : 2025-09-10 DOI:10.1002/jcu.70055

Yoshiho Masui, Kazunori Iwasaki, Kei Hirabayashi, Kei Takehara, Aki Kamo, Mitsuhisa Shinya, Takakazu Kawamura, Hiroko Konno, Takeshi Murakoshi

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引用次数: 0

摘要

一名妇女，妊娠5期，第3段，在妊娠19周出现胎儿腹水。由于大量腹水和羊水过少，最初怀疑尿性腹水；然而，胎儿腹水的生化分析与这一诊断不一致。放置腹膜-羊膜分流术以防止肺发育不全。术后膀胱填充物排除了尿性腹水。28周时，发现提示先天性巨细胞病毒（cCMV）感染。由于胎儿窘迫，胎儿于29周龄分娩，并通过PCR诊断为cCMV。新生儿在胃肠道穿孔后7天死亡。

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Congenital Cytomegalovirus Infection With Pulmonary Hypoplasia Secondary to Massive Ascites and Oligohydramnios: A Case Report.

A woman, gravida 5, para 3, presented with fetal ascites at 19 weeks of gestation. Urinary ascites was initially suspected because of massive ascites and oligohydramnios; however, biochemical analysis of fetal ascites was inconsistent with this diagnosis. A peritoneal-amniotic shunt was placed to prevent pulmonary hypoplasia. Postoperative bladder filling ruled out urinary ascites. At 28 weeks, findings suggestive of congenital cytomegalovirus (cCMV) infection emerged. The fetus was delivered at 29 weeks of age due to fetal distress and was diagnosed with cCMV by PCR. The neonate died 7 days after the gastrointestinal perforation.

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来源期刊

Journal of Clinical Ultrasound 医学-核医学

CiteScore

1.90

自引率

0.00%

发文量

248

审稿时长

6 months

期刊介绍： The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.