Veluchamy Manikandasamy, Ramasamy Karvendhan, Liyakat Nishath
Neonatology, NMC Specialty Hospital, Dubai, ARE.
Neonatology, Zulekha Hospital, Dubai, ARE.
Cureus. 2020 Jun 3;12(6):e8433. doi: 10.7759/cureus.8433.
A moderately preterm, 2.68 kg, male child was born to para 3 live 3 mother by Cesarean delivery done in view of preterm labor with fetal ascites. The baby had antenatally detected ascites. The baby had distended but soft abdomen. Ultrasound abdomen showed gross ascites. X-ray of the abdomen in supine showed faint lucency in the mid-abdomen region posterior to the bowel gas, which was visualized as free gas along the right half of the abdomen in lateral decubitus position, suggestive of bowel perforation. Laparotomy was done on day three of life, intraoperatively found to have perforated Meckel's diverticulum. Ascites resolved postoperatively. Isolated fetal ascites is a rare condition but has a favorable prognosis.
一名中度早产男婴,体重2.68千克,其母亲为经产妇,孕3产3,因早产伴胎儿腹水行剖宫产分娩。该婴儿产前已检测出腹水。婴儿腹部膨隆但柔软。腹部超声显示大量腹水。仰卧位腹部X线片显示肠气后方中腹部区域有模糊透亮区,侧卧位时该区域在腹部右侧可见游离气体,提示肠穿孔。出生后第三天行剖腹探查术,术中发现梅克尔憩室穿孔。腹水术后消退。孤立性胎儿腹水是一种罕见疾病,但预后良好。