继发于胃肠道异常的胎儿腹水的自然解决

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY
Alison Wiles, Melissa Yannetti, C. Dinglas
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引用次数: 0

摘要

【摘要】目的孤立性胎儿腹水预后不确定,需要广泛的鉴别诊断。当在产前超声检查中发现,彻底的评估是必要的,以排除积水的发展和寻找潜在的条件。虽然胃肠道异常约占胎儿腹水病例的20%,但通常需要术后手术矫正。虽然有报道孤立的胎儿腹水在子宫内解决,自发解决的致病胃肠道异常是罕见的。我们报告了一例33岁的多胎妇女,在32周时超声检测到中度胎儿腹水和小肠附近复杂的胎儿腹部肿块,在37周时腹水和肿块自发消退。正常新生儿出生后,我们怀疑肿块和腹水是由小肠破裂引起的胎便性腹膜炎。结论妊娠晚期腹水在子宫内自行消退,不发生积液,预后良好,新生儿结局正常。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Spontaneous resolution of fetal ascites secondary to gastrointestinal abnormality
Abstract Objectives Isolated fetal ascites carries an uncertain prognosis and broad differential diagnosis. When detected on prenatal sonography, a thorough evaluation is warranted to exclude development of hydrops and search for an underlying condition. While gastrointestinal abnormalities account for approximately 20% of cases of fetal ascites, surgical correction is commonly required postnatally. While there have been reports of isolated fetal ascites resolving in utero, spontaneous resolution of the causative gastrointestinal abnormality is unusual. Case presentation We report a case of a multiparous 33-year-old found to have moderate fetal ascites and a complex fetal abdominal mass near the small bowel detected by ultrasound at 32 weeks with spontaneous resolution of both ascites and mass by 37 weeks. Following the delivery of a normal neonate, we suspect the mass and ascites to have been produced by a small bowel rupture resulting in meconium peritonitis. Conclusions When fetal ascites with late gestational onset has spontaneous resolution in utero and hydrops never develops, there is generally a favorable prognosis and normal neonatal outcome.
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来源期刊
Case Reports in Perinatal Medicine
Case Reports in Perinatal Medicine OBSTETRICS & GYNECOLOGY-
自引率
0.00%
发文量
37
期刊介绍: Case Reports in Perinatal Medicine is a double-blind peer-reviewed journal. The objective of the new journal is very similar to that of JPM. In addition to evidence-based studies, practitioners in clinical practice esteem especially exemplary reports of cases that reveal specific manifestations of diseases, its progress or its treatment. We consider case reports and series to be brief reports describing an isolated clinical case or a small number of cases. They may describe new or uncommon diagnoses, unusual outcomes or prognosis, new or infrequently used therapies and side effects of therapy not usually discovered in clinical trials. They represent the basic concept of experiences for studies on representative groups for further evidence-based research. The potential roles of case reports and case series are: Recognition and description of new diseases Detection of drug side effects (adverse or beneficial) Study of mechanisms of disease Medical education and audit Recognition of rare manifestations of disease.
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