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腹内反转脐索在腹裂畸形中的独特超声表现。

Intra-abdominal inverted umblical cord in gastroschisis: a unique ultrasound finding.

机构信息

Department of Radiology and Biomedical Imaging, University of California San Francisco, Benioff Children's Hospital, 505 Parnassus Ave., San Francisco, CA, 94143-0628, USA.

出版信息

Pediatr Radiol. 2014 Jan;44(1):109-11. doi: 10.1007/s00247-013-2765-3. Epub 2013 Aug 2.

Abstract

A relatively new surgical technique allows for sutureless closure of a gastroschisis defect. Immediately after birth, a long umbilical cord stump is temporarily inverted into the abdominal cavity and later retracted and used to close the abdominal wall defect. Knowledge of this entity is important since the inverted umbilical cord simulates an intra-abdominal mass on cross-sectional imaging. While this procedure is well described in the surgical literature, the imaging features of inverted umbilical cord have yet to be reported. The case presented here highlights the sonographic imaging findings of the umbilical cord during the intestinal decompression phase of sutureless repair of gastroschisis.

摘要

一种相对较新的外科技术可实现腹裂缺陷的无缝合关闭。在出生后立即将长脐带残端暂时反转到腹腔内,然后缩回并用于关闭腹壁缺陷。了解此实体很重要,因为反转的脐带在横断成像上模拟了腹腔内肿块。虽然该手术在外科文献中有详细描述,但尚未报道反转脐带的影像学特征。本文介绍的病例强调了在无缝合修复腹裂的肠减压阶段脐带的超声影像学发现。

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