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肢体-体壁复合体与胎盘植入:纯属巧合还是病因学关联的迹象?

Limb Body Wall Complex Associated with Placenta Accreta: A Mere Coincidence or a Sign of an Etiopathogenic Link?

作者信息

Okido Marcos Masaru, Berezowski Aderson Tadeu, Carvalho Sandra Regina Marques, Duarte Geraldo, Cavalli Ricardo de Carvalho, Marcolin Alessandra Cristina

机构信息

Department of Gynecology and Obstetrics, Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo - USP, Ribeirão Preto, SP, Brazil.

出版信息

Rev Bras Ginecol Obstet. 2017 Mar;39(3):142-146. doi: 10.1055/s-0037-1598607. Epub 2017 Mar 3.

Abstract

A case was reported of a fetus with the anomaly of limb body wall complex associated with placenta accreta. To date, only one account of this condition has been published in the world literature. Due to the low frequency of both complications, the hypothesis has been raised that this association may have happened not by mere coincidence, but rather by a possible common etiopathogenic mechanism. For the first time, a study proposes the existence of a possible etiopathogenic connection between the anomaly of limb body wall complex and hypoxic disorders caused by inadequate placentation in previous uterine scarring.

摘要

报告了一例患有肢体-体壁复合畸形并伴有胎盘植入的胎儿病例。迄今为止,世界文献中仅发表过一篇关于这种情况的报道。由于这两种并发症的发生率都很低,有人提出这种关联可能并非仅仅是巧合,而是可能存在共同的病因发病机制。一项研究首次提出,肢体-体壁复合畸形与既往子宫瘢痕形成中胎盘植入不足所导致的缺氧性疾病之间可能存在病因学联系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d48a/10309338/f5ece0e307c3/10-1055-s-0037-1598607-i5851-1.jpg

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