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[与胎儿心脏横纹肌瘤相关的巴兰坦综合征:一例报告]

[Ballantyne syndrome associated with fetal cardiac rhabdomyoma: a case report].

作者信息

El Moussaoui Kamal, El Harmouchi Othmane, Baidada Aziz, Kharbach Aicha

机构信息

Département de Gynécologie Obstétrique et Endoscopie Gynécologique, Maternité Souissi, Centre Hospitalier Universitaire Ibn Sina, Rabat, Maroc.

出版信息

Pan Afr Med J. 2021 Jun 10;39:116. doi: 10.11604/pamj.2021.39.116.29610. eCollection 2021.

DOI:10.11604/pamj.2021.39.116.29610
PMID:34512852
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8396389/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a998/8396389/20f8e5bfa26f/PAMJ-39-116-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a998/8396389/d8f7dd248b60/PAMJ-39-116-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a998/8396389/d739ac1590dc/PAMJ-39-116-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a998/8396389/34e1b0136e73/PAMJ-39-116-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a998/8396389/20f8e5bfa26f/PAMJ-39-116-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a998/8396389/d8f7dd248b60/PAMJ-39-116-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a998/8396389/d739ac1590dc/PAMJ-39-116-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a998/8396389/34e1b0136e73/PAMJ-39-116-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a998/8396389/20f8e5bfa26f/PAMJ-39-116-g004.jpg

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Clinical manifestation and management in a resource-limited setting of Ballantyne syndrome (Mirror syndrome) associated with preeclampsia, a case report.与先兆子痫相关的巴兰坦综合征(镜像综合征)在资源有限环境下的临床表现及处理:一例报告
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本文引用的文献

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Placental origins of angiogenic dysfunction in mirror syndrome.镜面综合征中血管生成功能障碍的胎盘起源
Hypertens Pregnancy. 2012;31(2):211-7. doi: 10.3109/10641955.2011.638959. Epub 2011 Dec 9.
2
[Ballantyne syndrome caused by materno-fetal Parvovirus B19 infection: about two cases].母胎细小病毒B19感染所致的巴兰坦综合征:附两例报告
J Gynecol Obstet Biol Reprod (Paris). 2011 May;40(3):262-6. doi: 10.1016/j.jgyn.2010.12.001. Epub 2011 Jan 26.
3
Mirror syndrome: a systematic review of fetal associated conditions, maternal presentation and perinatal outcome.
镜像综合征:胎儿相关疾病、母体表现和围生期结局的系统评价。
Fetal Diagn Ther. 2010;27(4):191-203. doi: 10.1159/000305096. Epub 2010 Mar 27.
4
Reversion of the Ballantyne syndrome despite fetal hydrops persistence.尽管胎儿水肿持续存在,巴兰坦综合征仍出现逆转。
Fetal Diagn Ther. 2008;24(4):474-7. doi: 10.1159/000178532. Epub 2008 Nov 29.
5
Mirror syndrome associated with hydropic acardius in triplet pregnancy.三胎妊娠中与无心畸形并发的镜像综合征。
Fetal Diagn Ther. 2008;24(4):429-33. doi: 10.1159/000171045. Epub 2008 Nov 13.
6
Survival of a profoundly hydropic fetus with a sacrococcygeal teratoma delivered at 27 weeks of gestation for maternal mirror syndrome.一名患有骶尾部畸胎瘤的严重水肿胎儿因母亲患镜影综合征于孕27周分娩后的存活情况。
J Pediatr Surg. 2008 Aug;43(8):e17-20. doi: 10.1016/j.jpedsurg.2008.04.010.
7
Mirror syndrome: a novel approach to therapy with fetal peritoneal-amniotic shunt.镜像综合征:胎儿腹膜-羊膜分流术治疗的新方法。
Obstet Gynecol. 2007 Aug;110(2 Pt 2):540-3. doi: 10.1097/01.AOG.0000275259.03301.b2.
8
Manifestation of mirror syndrome after fetoscopic laser photocoagulation in severe twin-twin transfusion syndrome.严重双胎输血综合征行胎儿镜激光凝固术后镜面综合征的表现。
Fetal Diagn Ther. 2006;21(1):51-4. doi: 10.1159/000086835.
9
Cardiac tumours: diagnosis and management.心脏肿瘤:诊断与管理
Lancet Oncol. 2005 Apr;6(4):219-28. doi: 10.1016/S1470-2045(05)70093-0.
10
Fetal and neonatal cardiac tumors.胎儿及新生儿心脏肿瘤。
Pediatr Cardiol. 2004 May-Jun;25(3):252-73. doi: 10.1007/s00246-003-0590-4.