在一名因后尿道瓣膜导致巨膀胱的胎儿中观察到膀胱穿刺术后短暂性尿腹水。
Transient urinary ascites after vesicocentesis observed in a fetus with megacystis caused by posterior urethral valve.
作者信息
Hidaka Nobuhiro, Chiba Yoshihide
机构信息
Department of Perinatology, National Cardiovascular Center, Osaka, Japan.
出版信息
Fetal Diagn Ther. 2009;25(2):192-5. doi: 10.1159/000211228. Epub 2009 Apr 7.
BACKGROUND
Fetal urinary ascites is a condition that is rarely encountered. A review of previous reports suggests that the clinical course of the affected fetuses is highly variable.
METHODS
In this report, we describe a case in which urinary ascites was observed after vesicocentesis in a fetus with megacystis caused by posterior urethral valve.
RESULTS
The urinary ascites was transient, and the fetal outcome was good after a successful vesicoamniotic shunting operation.
CONCLUSIONS
In utero bladder rupture or injury and the subsequent appearance of urinary ascites may be well tolerated by the fetus. Further, spontaneous resolution can be expected during fetal life; therefore, it appears to be preferable to opt for conservative management in fetuses with urinary ascites. Urinary ascites, particularly after vesicocentesis, should be observed with extreme caution.
背景
胎儿尿腹水是一种罕见的病症。对既往报告的回顾表明，受影响胎儿的临床病程差异很大。
方法
在本报告中，我们描述了一例因后尿道瓣膜导致巨膀胱的胎儿在膀胱穿刺术后出现尿腹水的病例。
结果
尿腹水是短暂的，在成功进行膀胱羊膜分流术后胎儿结局良好。
结论
胎儿可能很好地耐受宫内膀胱破裂或损伤以及随后出现的尿腹水。此外，在胎儿期有望自行消退；因此，对于有尿腹水的胎儿，选择保守治疗似乎更为可取。对于尿腹水，尤其是膀胱穿刺术后的尿腹水，应极其谨慎地进行观察。
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