Department of Pediatric Surgery, AP-HM, Hôpital Nord, Marseille, France.
J Pediatr Surg. 2013 Jun;48(6):E9-11. doi: 10.1016/j.jpedsurg.2013.03.073.
Newborns prenatally exposed to methimazole (active metabolite of carbamizole) for maternal hyperthyroidism may present some disorders in common, but the phenotype is not well defined. Choanal atresia is the most frequent, and other anomalies such as esophageal atresia and aplasia cutis were described with this embryopathy. Additionally, patent omphalomesenteric duct or Meckel's diverticulum in similar association was reported in some patients. The predisposed genetic background has to be considered. We report the case of a newborn exposed to carbamizole during the first 4 weeks of pregnancy and define an association related to prenatal methamizole exposure consisting of esophageal atresia, small omphalocele, and ileal prolapse through a patent omphalomesenteric duct.
新生儿在子宫内接触甲巯咪唑(卡比马唑的活性代谢物)治疗母亲的甲状腺功能亢进症可能会出现一些共同的疾病,但表型尚未明确界定。最常见的是后鼻孔闭锁,其他异常如食管闭锁和先天性皮肤发育不全也与这种胚胎病变有关。此外,在一些患者中还报告了类似关联的开放脐肠系膜导管或 Meckel 憩室。应考虑易患遗传背景。我们报告了一例在妊娠第 4 周前接触卡比马唑的新生儿,并确定了与产前甲巯咪唑暴露相关的病例,包括食管闭锁、小脐膨出和通过开放脐肠系膜导管的回肠脱垂。