Terata Miyuki, Kikuchi Akihiko, Kanasugi Tomonobu, Fukushima Akimune, Sugiyama Toru
Departments of Obstetrics and Gynecology, Iwate Medical University School of Medicine, 19-1 Uchimaru, Morioka, Iwate 020-8505, Japan.
J Clin Ultrasound. 2013 Oct;41(8):517-20. doi: 10.1002/jcu.22000. Epub 2012 Oct 11.
Blue rubber bleb nevus syndrome (BRBNS) is a rare disorder characterized by multiple recurrent vascular malformations. Herein we report the case of a patient with BRBNS and placenta previa. Sonography and MRI clearly identified several hemangiomas located adjacent to the uterus with none adjacent to the anterior lower uterine segment. This preoperative information helped us perform the uterine wall incision safely during the cesarean delivery. The presence and location of hemangiomas adjacent to the uterus should be carefully examined in a pregnant woman with BRBNS prior to elective or emergency cesarean delivery.
蓝色橡皮疱痣综合征(BRBNS)是一种罕见的疾病,其特征为多发性复发性血管畸形。在此,我们报告一例患有BRBNS和前置胎盘的患者。超声检查和磁共振成像(MRI)清楚地识别出子宫旁有几个血管瘤,而子宫下段前壁旁没有。这些术前信息帮助我们在剖宫产时安全地进行子宫壁切开。对于计划进行择期剖宫产或急诊剖宫产的患有BRBNS的孕妇,应仔细检查子宫旁血管瘤的存在情况和位置。