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罕见的膀胱憩室病例。

A rare case of bladder diverticulosis.

机构信息

Neonatal Intensive Care Unit, Papa Giovanni XXIII Hospital, Bergamo, Italy.

Department of Women's and Children's Health, University of Padua, Italy; Advanced School of Pediatric Ultrasonography of the Italian Society of Ultrasonography in Medicine and Biology (SIUMB), Italy.

出版信息

Clin Imaging. 2020 Sep;65:33-36. doi: 10.1016/j.clinimag.2020.04.013. Epub 2020 Apr 18.

Abstract

The incidence of bladder diverticula in the pediatric population is unknown as they are often asymptomatic. A minority of cases are a manifestation of a genetic syndrome. Primary diverticula have different features compared to secondary diverticula, which are generally caused by an obstructive or iatrogenic mechanism. This clinical case deals with a rare neonatal finding of bladder diverticulosis with alteration of the bladder, first detected with ultrasound. Voiding cystography and magnetic resonance allowed us to delineate their heterogeneity in size, their distribution in the bladder and to rule out other malformations of the urinary tract. The features of these diverticula focused the diagnosis of cutis laxa syndrome, a rare disease where bladder diverticulosis is only one sign of a more complex disease.

摘要

小儿膀胱憩室的发病率尚不清楚,因为它们通常无症状。少数病例是遗传综合征的表现。原发性憩室与继发性憩室有不同的特征,后者通常由阻塞性或医源性机制引起。本临床病例涉及一种罕见的新生儿膀胱憩室病,其膀胱发生改变,最初通过超声检测到。排尿性膀胱造影和磁共振成像允许我们描绘其大小的异质性、在膀胱中的分布,并排除其他泌尿道畸形。这些憩室的特征集中在弹力纤维松解症的诊断上,这是一种罕见的疾病,膀胱憩室病仅是更复杂疾病的一个表现。

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