Heep J, Weidenkopf K L, Tschahargane C
St. Josefskrankenhaus Heidelberg, Geburtshilfl.-Gynäkolog, Abteilung.
Geburtshilfe Frauenheilkd. 1988 Nov;48(11):819-21. doi: 10.1055/s-2008-1026635.
The authors report on an encapsulated, fibrous capillary hemangioma, 4 cm in diameter, located at the insertion of the umbilical cord, which caused a polyhydramnion in the 26th week of gestation. The diagnosis of capillary hemangioma was confirmed by multiple sonographic examinations. In the 27th week of gestation, 700 ml of amniotic fluid were drained by a single transabdominal amniocentesis. The child had to be delivered by cesarean section in the 36th week of gestation owing to a breech presentation in a primigravida mother and signs of respiratory placental insufficiency. No malformations of any kind were found in the newborn. The importance of the capillary hemangioma as the cause of a polyhydramnion is discussed with regard to differential diagnosis.
作者报告了一例直径4厘米的包膜性纤维性毛细血管瘤，位于脐带附着处，在妊娠第26周时导致羊水过多。通过多次超声检查确诊为毛细血管瘤。在妊娠第27周，经单次经腹羊膜腔穿刺引流羊水700毫升。由于初产妇母亲臀位及胎盘功能不全的迹象，该婴儿不得不在妊娠第36周剖宫产分娩。新生儿未发现任何类型的畸形。讨论了毛细血管瘤作为羊水过多原因在鉴别诊断中的重要性。
