El Moussaoui Kamal, El Harmouchi Othmane, Baidada Aziz, Kharbach Aicha
Département de Gynécologie Obstétrique et Endoscopie Gynécologique, Maternité Souissi, Centre Hospitalier Universitaire Ibn Sina, Rabat, Maroc.
Pan Afr Med J. 2021 Jun 10;39:116. doi: 10.11604/pamj.2021.39.116.29610. eCollection 2021.
Ballantyne syndrome or mirror syndrome was first described in 1892. It is a disorder affecting pregnant women describing the association of fetal anasarca complicated by more or less generalized maternal edema and albuminuria (and sometimes anemia). It is a rare clinical entity. Diagnosis is based on a triad consisting of fetal hydrops, generalized maternal edema and placentomegaly. It can be associated with fetal hydrops from any cause. Diagnostic should be suspected in patients with maternal edema syndrome associated with fetal anasarca. Guarded fetal prognosis can be associated with high maternal morbidity; hence the need for early diagnosis, resting on a clear determination of its cause, and aimed to implement antenatal treatment improving maternal and fetal prognosis. We here report a unique case of Ballantyne syndrome which has never been described in the literature. The study involved a 32-year-old female patient with fetal hydrops caused by fetal cardiac rhabdomyoma.
巴兰坦综合征或镜像综合征于1892年首次被描述。它是一种影响孕妇的疾病,表现为胎儿全身水肿,并伴有或多或少的全身性母体水肿和蛋白尿(有时还有贫血)。它是一种罕见的临床病症。诊断基于胎儿水肿、全身性母体水肿和胎盘肿大这三联征。它可与任何原因引起的胎儿水肿相关。对于伴有胎儿全身水肿的母体水肿综合征患者应怀疑有该诊断。胎儿预后不佳可能与母体高发病率相关;因此需要早期诊断,明确其病因,并实施改善母体和胎儿预后的产前治疗。我们在此报告一例文献中从未描述过的独特的巴兰坦综合征病例。该研究涉及一名32岁的女性患者,其胎儿水肿由胎儿心脏横纹肌瘤引起。