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胎儿阴道积水和先天性处女膜闭锁:产前和产后影像学特征

Fetal hydrometrocolpos and congenital imperforate hymen: Prenatal and postnatal imaging features.

作者信息

Garcia Rodriguez Raquel, Pérez González Julio, Garcia Delgado Raquel, Rodriguez Guedes Azahara, de Luis Alvarado María, Medina Castellano Margarita, Garcia Hernandez Jose Angel

机构信息

Prenatal Diagnosis and Fetal Medicine Unit, Obstetrics and Gynecology Service, Complejo Hospitalario Universitario Insular Materno Infantil de Canarias, Las Palmas de Gran Canaria, Spain.

Radiodiagnosis Department, Complejo Hospitalario Universitario Insular Materno Infantil de Canarias, Las Palmas de Gran Canaria, Spain.

出版信息

J Clin Ultrasound. 2018 Oct;46(8):549-552. doi: 10.1002/jcu.22588. Epub 2018 Mar 23.

DOI:10.1002/jcu.22588
PMID:29570797
Abstract

Congenital imperforate hymen is probably the most common obstructive anomaly of the female reproductive tract. The accumulation of fluid in the genital tract leads to a distended uterus and vagina, causing hydrometrocolpos. Prenatal diagnosis of fetal hydrometrocolpos is uncommon, with only 22 cases reported in the literature and only a few cases of prenatal imaging of this condition available to date. The main ultrasound finding is a fetal pelvic mass posterior to the bladder and anterior to the rectum. We present the case of a 37-week female fetus with a fetal pelvic mass detected in a routine obstetric ultrasound examination, and the correlation between the prenatal and postnatal findings.

摘要

先天性处女膜闭锁可能是女性生殖道最常见的梗阻性异常。生殖道内液体的积聚导致子宫和阴道扩张,引起阴道积血和子宫积血。胎儿阴道积血和子宫积血的产前诊断并不常见,文献中仅报道了22例,迄今为止,这种情况的产前影像学检查病例也很少。主要超声表现是胎儿膀胱后方、直肠前方的盆腔肿块。我们报告了一例在常规产科超声检查中发现胎儿盆腔肿块的37周女性胎儿病例,以及产前和产后检查结果之间的相关性。

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Front Pediatr. 2025 Mar 31;13:1546721. doi: 10.3389/fped.2025.1546721. eCollection 2025.
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