Morimura Yutaka, Fujimori Keiya, Ishida Tomohiko, Ito Akiko, Nomura Yasuhisa, Sato Akira
Department of Obstetrics and Gynecology, School of Medicine, Fukushima Medical University, Fukushima, Japan.
J Obstet Gynaecol Res. 2003 Oct;29(5):347-50. doi: 10.1046/j.1341-8076.2003.00129.x.
To the best of our knowledge, this is the first report of a non-reassuring fetal pattern caused by a hepatic hemangioma that was found during fetal heart rate monitoring. A 37 weeks' gestation, a 32-year-old-woman was referred to our hospital for evaluation of a rapidly growing fetal abdominal tumor. Fetal heart rate monitoring revealed a non-reassuring pattern, and a cesarean section was performed as a result. Examination of the 2820 g female infant suggested a hepatic hemangioma accompanying an intratumor hemorrhage and coagulopathy. The infant died 2 days after birth. The autopsy confirmed that the cause of death was a result of a hepatic hemangioma. Frequent monitoring of fetuses and ultrasound examinations are necessary for determining the timing of delivery and for a favorable prognosis.
据我们所知，这是第一例在胎儿心率监测期间发现由肝血管瘤导致的胎儿监护异常的报告。一名32岁、孕37周的女性因胎儿腹部肿瘤迅速增大被转诊至我院。胎儿心率监测显示监护异常，遂行剖宫产。对一名体重2820g的女婴检查发现患有肝血管瘤并伴有肿瘤内出血和凝血病。该婴儿出生后2天死亡。尸检证实死亡原因是肝血管瘤。为确定分娩时机及获得良好预后，对胎儿进行频繁监测及超声检查很有必要。
