结肠重复囊肿作为卵巢囊肿的鉴别诊断。
Cystic colon duplication as differential diagnosis to ovarian cyst.
作者信息
Meyberg-Solomayer G C, Buchenau W, Solomayer E-F, Fehm T, Hacker H W, Wallwiener D, Poets C
机构信息
Department of Gynaecology and Obstetrics, University of Tuebingen, Tuebingen, Germany.
出版信息
Fetal Diagn Ther. 2006;21(2):224-7. doi: 10.1159/000089307.
OBJECTIVE
We report the case of a female fetus with a single spherical anechoic cyst on the right side of the lower abdomen first diagnosed at 22 weeks of pregnancy.
METHODS
Serial ultrasound monitoring and needle aspiration of the cyst were performed.
RESULTS
The cyst grew during pregnancy up to 8 cm diameter. Needle aspiration was performed at 33 and 36 weeks. At 38 weeks labor was induced and a girl was delivered spontaneously. Postnatally the child showed abdominal distention, vomiting, and an obstruction of venous return of the right leg. To improve venous circulation, another needle aspiration of the cyst was performed. Laparoscopy revealed cystic colon duplication.
CONCLUSIONS
Prenatal differentiation of a single round anechoic cyst in the pelvis of a female fetus can be difficult. As a rare abnormality cystic colon duplication has to be considered.
目的
我们报告一例女性胎儿病例，该胎儿在妊娠22周时首次被诊断为下腹部右侧有一个单一球形无回声囊肿。
方法
进行了系列超声监测及囊肿穿刺抽吸。
结果
囊肿在孕期生长至直径8厘米。在33周和36周时进行了穿刺抽吸。38周时引产，一名女婴自然分娩。产后患儿出现腹胀、呕吐及右腿静脉回流受阻。为改善静脉循环，再次对囊肿进行穿刺抽吸。腹腔镜检查显示为结肠重复畸形囊肿。
结论
产前鉴别女性胎儿盆腔内单一圆形无回声囊肿可能存在困难。作为一种罕见的异常情况，必须考虑结肠重复畸形囊肿。
Zotero 插件