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胎儿下腔静脉血栓形成与非免疫性胎儿水肿及母体镜像综合征相关

Fetal Inferior Vena Cava Thrombosis Associated With Non-Immune Hydrops Fetalis and Maternal Mirror Syndrome.

作者信息

Foxworthy Kimberly M, Lamb Eneka, Weymon Alexandria, Roloff Emily, Garcia De Paredes Jessica, Frost Jamie, Romero Vivian C

机构信息

Maternal Fetal Medicine, Michigan State University College of Human Medicine, Grand Rapids, USA.

Maternal Fetal Medicine, Corewell Health West, Grand Rapids, USA.

出版信息

Cureus. 2023 Jul 4;15(7):e41357. doi: 10.7759/cureus.41357. eCollection 2023 Jul.

DOI:10.7759/cureus.41357
PMID:37546055
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10399607/
Abstract

Prenatal assessment of the inferior vena cava (IVC) should be considered in pregnancies with atypical presentations of fetal ascites and placentomegaly. We examine a case of a 25-year-old gravida 2 para 1 type 1 diabetic female at 29 and 4/7 weeks' gestation. Ultrasound (US) showed fetal ascites and placentomegaly with increased middle cerebral artery peak systolic velocity (MCA-PSV) suspicious of fetal anemia. Cordocentesis with intrauterine transfusion briefly resolved the fetal ascites, though the mother developed pulmonary edema and pleural effusion, suggestive of mirror syndrome. On US, fetal ascites returned and progressed to non-immune hydrops fetalis, prompting delivery. Neonatal US revealed a heterogenous and calcified thrombus within the IVC.

摘要

对于有胎儿腹水和胎盘肿大非典型表现的妊娠，应考虑对下腔静脉（IVC）进行产前评估。我们检查了一例25岁、孕2产1的1型糖尿病女性患者，妊娠29周加4/7周。超声（US）显示胎儿腹水和胎盘肿大，同时大脑中动脉收缩期峰值流速（MCA-PSV）增加，怀疑胎儿贫血。脐带穿刺及宫内输血使胎儿腹水暂时消退，但母亲出现肺水肿和胸腔积液，提示镜像综合征。超声检查显示胎儿腹水复发并进展为非免疫性胎儿水肿，促使进行分娩。新生儿超声检查发现下腔静脉内有一个不均匀的钙化血栓。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae1/10399607/4235fa117529/cureus-0015-00000041357-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae1/10399607/b13d23188553/cureus-0015-00000041357-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae1/10399607/7364f5672148/cureus-0015-00000041357-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae1/10399607/90f074183e6b/cureus-0015-00000041357-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae1/10399607/4235fa117529/cureus-0015-00000041357-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae1/10399607/b13d23188553/cureus-0015-00000041357-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae1/10399607/7364f5672148/cureus-0015-00000041357-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae1/10399607/90f074183e6b/cureus-0015-00000041357-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae1/10399607/4235fa117529/cureus-0015-00000041357-i04.jpg

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