先天性大理石样皮肤毛细血管扩张症表现为胎儿血胸。

Cutis Marmorata Telangiectatica Congenita Presenting as a Fetal Hemothorax.

机构信息

Division of Pediatric Surgery, Department of Surgery, University of Michigan, Ann Arbor, Michigan, USA.

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, New Mexico, USA.

出版信息

Fetal Diagn Ther. 2019;45(4):281-284. doi: 10.1159/000488487. Epub 2018 May 23.

DOI:10.1159/000488487

PMID:29791897

Abstract

We report a case of a fetus diagnosed at 28 weeks' gestation with a spontaneous prenatal hemothorax. Fetal intervention consisted of 2 thoracenteses with analysis of the pleural effusion. The pregnancy was further complicated by recurrence of the hemothorax, with subsequent mediastinal shift, hydrops, and nonreassuring antenatal testing requiring delivery at 31 weeks' gestation. Postnatal workup established the diagnoses of cutis marmorata telangiectatica congenita (CMTC) and pulmonary lymphangiectasia. The child is currently 4 years old and without any active medical issues or sequelae from the CMTC, pulmonary lymphangiectasia, or prenatal interventions.

摘要

我们报告了一例在 28 周妊娠时被诊断为自发性产前血胸的胎儿。胎儿干预包括 2 次胸腔穿刺术，并对胸腔积液进行分析。该妊娠进一步复杂化，出现血胸复发，随后出现纵隔移位、水肿和胎儿监测不令人满意，需要在 31 周妊娠时分娩。产后检查确定了先天性大理石样皮肤毛细血管扩张症（CMTC）和肺淋巴管扩张症的诊断。目前该患儿 4 岁，无任何活动医学问题，也无 CMTC、肺淋巴管扩张症或产前干预的后遗症。