Gupta Kanika, Venkatesan Bhuvaneswari, Manoharan Kiruba Shankar, Rajalakshmi Vaithianathan, Menon Maya
Department of Radiodiagnosis, ESI Medical College and PGIMSR, K K Nagar, Chennai-600078. Tamil Nadu, India.
Department of E.N.T, ESI Medical College and PGIMSR, K K Nagar, Chennai-600078. Tamil Nadu, India.
J Radiol Case Rep. 2016 Aug 31;10(8):39-49. doi: 10.3941/jrcr.v10i8.2692. eCollection 2016 Aug.
Congenital high airway obstruction syndrome is a rare fetal anomaly with characteristic constellation of prenatal findings on ultrasound and MRI. The typical triad of imaging features are enlarged and echogenic lungs, flattening or inversion of diaphragm and fetal hydrops. Early prenatal recognition of congenital high airway obstruction syndrome by ultrasound and/or MRI is mandatory for the appropriate perinatal management. We report a case of a male fetus with typical imaging findings of congenital high airway obstruction syndrome on ultrasound and MRI at 19 weeks of gestation. The role of contrast radiographs of fetal airways, including retrograde laryngogram, in confirming the postnatal diagnosis of this fetal condition is demonstrated. The prenatal imaging findings were correlated with contrast radiographs of upper airways, sonography of aborted fetus and fetal autopsy findings.
先天性高气道梗阻综合征是一种罕见的胎儿异常，在超声和磁共振成像（MRI）检查中具有一系列典型的产前表现。其典型的三联影像特征为肺脏增大且回声增强、膈肌扁平或倒置以及胎儿水肿。通过超声和/或MRI尽早进行先天性高气道梗阻综合征的产前诊断对于围产期的恰当管理至关重要。我们报告一例男性胎儿，在妊娠19周时超声和MRI检查呈现先天性高气道梗阻综合征的典型影像表现。文中展示了包括逆行喉造影在内的胎儿气道造影X线片在确诊该胎儿疾病产后诊断中的作用。产前影像表现与上气道造影X线片、流产胎儿超声检查结果以及胎儿尸检结果相关联。
