Jeong Hyun Chul, Cha Seong Jae, Kim Gwang Jun
Departments of Obstetrics and Gynecology, Chung-Ang University Hospital, Seoul, Korea.
J Obstet Gynaecol Res. 2012 Feb;38(2):449-51. doi: 10.1111/j.1447-0756.2011.01728.x. Epub 2012 Jan 10.
A pregnant woman in the mid-third trimester developed complications with enlarged fetal abdomen and polyhydramnios. Prenatal ultrasound visualized dilated bowel, intraperitoneal calcifications, ascites, hydroceles and polyhydramnios, giving the impression of meconium peritonitis. The fetal abdomen continued to increased in size, and maternal dyspnea due to polyhydramnios was aggravated. She underwent a cesarean section at 36 + 1 weeks' gestation. The delivery was followed by severe neonatal respiratory distress due to the huge mass in the abdomen. The tumor was successfully removed by emergency surgery and diagnosed as immature gastric teratoma. No other associated anomaly was found. The infant made a good progress after the operation.
一名孕晚期孕妇出现并发症，表现为胎儿腹部增大和羊水过多。产前超声检查可见扩张的肠管、腹腔内钙化、腹水、鞘膜积液和羊水过多，提示胎粪性腹膜炎。胎儿腹部持续增大，孕妇因羊水过多导致的呼吸困难加重。她在妊娠36 + 1周时接受了剖宫产。分娩后，由于腹部巨大肿块，新生儿出现严重呼吸窘迫。通过急诊手术成功切除肿瘤，诊断为未成熟胃畸胎瘤。未发现其他相关异常。婴儿术后恢复良好。
