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罕见泄殖腔外翻的产前诊断:一例报告

Prenatal diagnosis of rare cloacal exstrophy: A case report.

作者信息

Aziz Muhammad Alamsyah

机构信息

Fetomaternal Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Padjadjaran University, Hasan Sadikin General Hospital Bandung, Indonesia.

出版信息

Ann Med Surg (Lond). 2022 Aug 17;81:104436. doi: 10.1016/j.amsu.2022.104436. eCollection 2022 Sep.

Abstract

INTRODUCTION AND IMPORTANCE

Cloacal Exstrophy (CE) is a rare congenital birth defect. A correct prenatal diagnosis of CE is rarely made, even when congenital abnormalities are suspected on prenatal ultrasound examination.

CASE PRESENTATION

We report a case of CE with an abdominal defect about 5.31 cm in diameter seen below the umbilicus covered by a membrane. It was difficult to identify the left kidney, the bladder, the genital, and the anal dimple in the early third trimester ultrasound. The diagnosis of CE was then confirmed postnatally.

CLINICAL DISCUSSION

Omphalocele and persistent bladder nonvisualization despite normal amniotic fluid volume detected by prenatal ultrasound can be suggestive for CE.

CONCLUSION

Accurate prenatal diagnosis of CE is important to carry out multidisciplinary management and prenatal counseling to parents.

摘要

引言与重要性

泄殖腔外翻(CE)是一种罕见的先天性出生缺陷。即使在产前超声检查怀疑有先天性异常时,也很少能做出CE的正确产前诊断。

病例报告

我们报告一例CE病例,脐下可见一个直径约5.31厘米的腹部缺损,表面覆盖有一层膜。在孕晚期超声检查中,很难识别左肾、膀胱、生殖器和肛门凹痕。产后确诊为CE。

临床讨论

产前超声检查发现羊水量正常但存在脐膨出和持续膀胱不可见时,可能提示CE。

结论

CE的准确产前诊断对于实施多学科管理和为父母提供产前咨询很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51e7/9486608/ca923e7fb024/gr1.jpg

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