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新生儿游走性腹部肿块:一例酷似卵巢囊肿的肠重复囊肿

A Wandering Abdominal Mass in a Neonate: An Enteric Duplication Cyst Mimicking an Ovarian Cyst.

作者信息

Iijima Shigeo

机构信息

Department of Pediatrics, Hamamatsu University School of Medicine, Shizuoka, Japan.

出版信息

Case Rep Pediatr. 2017;2017:9209126. doi: 10.1155/2017/9209126. Epub 2017 Mar 2.

Abstract

Enteric duplication cysts are rare congenital anomalies that are prenatally diagnosed through antenatal ultrasonography (US). In female patients, however, attention must be paid since these formations might be confused with ovarian cysts. Herein, we present a case of a low birth weight female infant with an enteric duplication cyst. A cystic lesion was detected in the right abdomen of the fetus on antenatal US and magnetic resonance imaging (MRI). Serial US and MRI examinations performed after birth showed a single cyst that wandered from side to side in the abdomen; the initial diagnosis was thought to be an ovarian cyst. During laparotomy, however, it was found to be an enteric duplication cyst with volvulus. To our knowledge, there has been no report of an enteric duplication cyst presenting as a wandering abdominal mass. Our experience indicates that early intervention is necessary for patients who have a wandering abdominal mass to avoid complications and urgent surgery, whether it is an ovarian cyst or an enteric duplication cyst.

摘要

肠重复囊肿是一种罕见的先天性异常,可通过产前超声检查(US)进行产前诊断。然而,在女性患者中,必须予以关注,因为这些病变可能会与卵巢囊肿混淆。在此,我们报告一例低体重女婴患有肠重复囊肿的病例。产前超声和磁共振成像(MRI)检查发现胎儿右腹部有一个囊性病变。出生后进行的系列超声和MRI检查显示,一个单房囊肿在腹部左右移动;最初诊断为卵巢囊肿。然而,在剖腹手术中发现是一个伴有肠扭转的肠重复囊肿。据我们所知,尚无肠重复囊肿表现为移动性腹部肿块的报道。我们的经验表明,对于有移动性腹部肿块的患者,无论其是卵巢囊肿还是肠重复囊肿,早期干预都是必要的,以避免并发症和紧急手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406b/5352883/3e55ac2789d8/CRIPE2017-9209126.001.jpg

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