Michel W, Albig M, Waldschmidt J, Weitzel H
Z Geburtshilfe Perinatol. 1986 Jul-Aug;190(4):172-4.
A report is presented on the prenatal development of a solitary hepatic cyst in a fetus of the 39th week of pregnancy. Sonography revealed that nearly the entire abdomen was filled by a cyst that caused displacement of the stomach and intestine as well as elevation of the diaphragm. Abdominal distension necessitated delivery before term by cesarean section. The laparotomy subsequently performed because of increasing dyspnea of the newborn showed the left lobe of the liver to be the point of origin of a solitary hepatic cyst that could be removed in toto. Possibilities of post partum therapy are discussed in addition to obstetrical management. The incidence, localisation and size of solitary hepatic cysts as well as their differential diagnosis are also described.
本文报告了一例妊娠39周胎儿孤立性肝囊肿的产前发育情况。超声检查显示,几乎整个腹部被一个囊肿占据,该囊肿导致胃和肠道移位以及膈肌抬高。腹胀使得在足月前进行剖宫产分娩成为必要。由于新生儿呼吸困难加重,随后进行了剖腹手术,结果显示肝左叶是一个可完整切除的孤立性肝囊肿的起源点。除了产科处理外,还讨论了产后治疗的可能性。文中还描述了孤立性肝囊肿的发病率、定位、大小及其鉴别诊断。