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晚期妊娠腹腔积液的超声引导下成功引流

Successful ultrasound-guided drainage of an intra-abdominal collection in late pregnancy.

作者信息

Patel Jugal, Siriwardana Hp Priyantha, Hammond Toby, Hanif Muhammad A

机构信息

Department of General Surgery, Broomfield Hospital, Chelmsford, Essex, UK.

Department of Interventional Radiology, Mid Essex Hospital Services NHS Trust, Chelmsford, Essex, UK.

出版信息

BMJ Case Rep. 2017 Sep 11;2017:bcr-2017-219479. doi: 10.1136/bcr-2017-219479.

DOI:10.1136/bcr-2017-219479
PMID:28893802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5612274/
Abstract

Pregnancy complicated by an intra-abdominal collection is uncommon and poses a challenge in the management. We present a case that illustrates successful treatment via ultrasound-guided drainage of a collection associated with a dermoid cyst in a 30 weeks pregnant patient presenting with fever and right-sided abdominal pain. Following treatment, the patient clinically improved rapidly. The drain was removed 3 days later and a repeat ultrasound scan showed no collection.

摘要

妊娠合并腹腔积液并不常见,在处理上颇具挑战。我们报告一例病例,该病例显示一名30周妊娠的患者,因皮样囊肿合并积液出现发热及右侧腹痛,经超声引导下积液引流获得成功治疗。治疗后,患者临床症状迅速改善。3天后拔除引流管,再次超声检查显示无积液。

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本文引用的文献

1
Sterile Seroma after Drainage of Purulent Muscle Abscess in Crohn's Disease: Two Cases.克罗恩病患者脓性肌肉脓肿引流术后无菌性血清肿:两例报告
Case Rep Gastrointest Med. 2016;2016:1516364. doi: 10.1155/2016/1516364. Epub 2016 Jul 27.
2
Early pregnancy loss following laparoscopic management of ovarian abscess secondary to oocyte retrieval.卵母细胞采集术后卵巢脓肿腹腔镜治疗后的早期妊娠丢失
Int J Fertil Steril. 2014 Oct;8(3):341-6. Epub 2014 Nov 1.
3
Renal hemorrhagic actinomycotic abscess in pregnancy.妊娠期肾出血性放线菌脓肿
Infect Dis Rep. 2014 Feb 14;6(1):5157. doi: 10.4081/idr.2014.5157. eCollection 2014 Feb 18.
4
Bilateral psoas abscess during pregnancy presenting as an acute abdomen: atypical presentation.妊娠期双侧腰大肌脓肿表现为急腹症:非典型表现。
BMJ Case Rep. 2013 Oct 22;2013:bcr2013200860. doi: 10.1136/bcr-2013-200860.
5
Laparoscopy: a safe approach to appendicitis during pregnancy.腹腔镜检查:妊娠期阑尾炎的安全治疗方法。
Surg Endosc. 2010 Feb;24(2):383-9. doi: 10.1007/s00464-009-0571-7. Epub 2009 Jun 24.
6
Laparoscopic appendectomy in pregnant patients: a review of 45 cases.孕妇腹腔镜阑尾切除术:45例病例回顾
Surg Endosc. 2009 Aug;23(8):1701-5. doi: 10.1007/s00464-008-0201-9. Epub 2008 Dec 5.
7
Fever and right upper quadrant pain in a pregnant woman at 30 weeks' gestation.一名妊娠30周的孕妇出现发热和右上腹疼痛。
Nat Clin Pract Gastroenterol Hepatol. 2004 Dec;1(2):113-6; quiz 1 p following 116. doi: 10.1038/ncpgasthep0037.
8
Rupture of dermoid cyst presenting with recurrent abdominal pain, preterm prelabour rupture of membranes and sterile chorioamnionitis.皮样囊肿破裂表现为反复腹痛、胎膜早破和无菌性绒毛膜羊膜炎。
J Obstet Gynaecol. 2005 Jul;25(5):514. doi: 10.1080/01443610500193346.