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以非免疫性水肿和镜像综合征为表现的胎粪性腹膜炎

Meconium Peritonitis Presenting with Nonimmune Hydrops and Mirror Syndrome.

作者信息

Mishra Purbasha, Sahoo Tanushree, Mohanty Pankaj K, Som Tapas K, Tripathy Bikasha Bihari, Singh Sweta

机构信息

Department of Neonatology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Department of Obstetrics and Gynaecology, AIIMS, Bhubaneswar, Odisha, India.

出版信息

J Indian Assoc Pediatr Surg. 2022 May-Jun;27(3):362-364. doi: 10.4103/jiaps.JIAPS_51_21. Epub 2022 May 12.

DOI:10.4103/jiaps.JIAPS_51_21
PMID:35733583
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9208697/
Abstract

Meconium peritonitis (MP) presenting as hydrops is a rare entity. A 34-week hydropic infant was born to mother diagnosed with a case of nonimmune hydrops. Postnatally, the neonate was diagnosed as a case of MP based on clinical examination and investigations. The neonate underwent exploratory laparotomy which revealed diffuse MP with ileal perforation. She underwent resection of ileal perforation with ileocolic anastomosis. The index case highlights the importance of thorough clinical examination and abdominal X-ray in the diagnosis of MP.

摘要

以水肿表现的胎粪性腹膜炎(MP)是一种罕见的病症。一名34周大的水肿婴儿出生于被诊断为非免疫性水肿的母亲。出生后,该新生儿经临床检查和调查被诊断为MP病例。新生儿接受了剖腹探查术,结果显示为弥漫性MP伴回肠穿孔。她接受了回肠穿孔切除术及回结肠吻合术。该病例强调了全面临床检查和腹部X线检查在MP诊断中的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9ae/9208697/0ccebbe83a9b/JIAPS-27-362-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9ae/9208697/a45584cedd60/JIAPS-27-362-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9ae/9208697/d2a55b00b53a/JIAPS-27-362-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9ae/9208697/0ccebbe83a9b/JIAPS-27-362-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9ae/9208697/a45584cedd60/JIAPS-27-362-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9ae/9208697/d2a55b00b53a/JIAPS-27-362-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9ae/9208697/0ccebbe83a9b/JIAPS-27-362-g003.jpg

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引用本文的文献

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Does prenatal diagnosis of meconium peritonitis have the better recovery? A single-center over 10 years of experience.先天性粪性腹膜炎的产前诊断是否具有更好的预后?一项单中心 10 余年的经验总结。
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本文引用的文献

1
A Rare Case of Fetal Meconium Peritonitis Developing Coagulopathy .一例罕见的胎儿胎粪性腹膜炎并发凝血病
J Med Ultrasound. 2019 Aug 7;27(4):205-207. doi: 10.4103/JMU.JMU_25_19. eCollection 2019 Oct-Dec.
2
[Clinical study on 156 cases with hydrops fetalis].156例胎儿水肿的临床研究
Zhonghua Fu Chan Ke Za Zhi. 2011 Dec;46(12):905-10.
3
Short-term and long-term outcomes of 214 cases of non-immune hydrops fetalis.214 例非免疫性胎儿水肿的短期和长期结局。
Early Hum Dev. 2011 Aug;87(8):571-5. doi: 10.1016/j.earlhumdev.2011.04.015. Epub 2011 May 17.
4
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.
5
Clinical manifestations in infants with symptomatic meconium peritonitis.有症状的胎粪性腹膜炎婴儿的临床表现。
Pediatr Neonatol. 2009 Apr;50(2):59-64. doi: 10.1016/s1875-9572(09)60034-6.
6
Meconium peritonitis in utero---the value of prenatal diagnosis in determining neonatal outcome.宫内胎粪性腹膜炎——产前诊断对确定新生儿结局的价值。
Taiwan J Obstet Gynecol. 2008 Dec;47(4):391-6. doi: 10.1016/S1028-4559(09)60004-8.
7
Fetal intra-abdominal calcifications from meconium peritonitis: sonographic predictors of postnatal surgery.胎粪性腹膜炎所致胎儿腹腔内钙化:出生后手术的超声预测指标
Prenat Diagn. 2007 Oct;27(10):960-3. doi: 10.1002/pd.1812.
8
Meconium peritonitis in utero.宫内胎粪性腹膜炎
Pediatr Surg Int. 2000;16(5-6):377-9. doi: 10.1007/s003830000354.