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产前超声诊断胎儿肠旋转不良伴肠扭转 1 例报告。

Prenatal ultrasound diagnosis of fetal volvulus without malrotation: A case report.

机构信息

Department of Ultrasound and Electrocardiography, Hangzhou Women's Hospital (Hangzhou Maternity and Child Health Care Hospital), Hangzhou, Zhejiang, People's Republic of China.

Prenatal Screening and Prenatal Diagnosis Center, Hangzhou Women's Hospital (Hangzhou Maternity and Child Health Care Hospital), Hangzhou, Zhejiang, People's Republic of China.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2024 Nov;302:61-64. doi: 10.1016/j.ejogrb.2024.08.032. Epub 2024 Aug 24.

Abstract

Cases of fetal volvulus without malrotation are extremely uncommon and pose a life-threatening condition of acute abdomen. In cases of inadequate intestinal rotation, the narrowing of the attachment of the mesenteric root can easily cause intestinal torsion and consequent local blood circulation disorders within the intestinal tract, leading to aseptic necrosis and simultaneous intestinal perforation, resulting in meconium peritonitis, ascites, anemia, and potentially fetal death. In ultrasound examinations, it may be the preferred examination method for this disease. Ultrasound physicians should improve their understanding of this disease in prenatal diagnosis, as it has important clinical value for obstetric management and neonatal treatment, thereby potentially improving adverse pregnancy outcomes.

摘要

胎儿肠旋转不良合并中肠扭转非常罕见,但可引起危及生命的急性肠梗阻。在中肠旋转不良时,由于肠系膜根部附着处狭窄,容易发生肠扭转,继而导致肠腔内局部血液循环障碍,发生无菌性坏死,同时并发肠穿孔,导致胎粪性腹膜炎、腹水、贫血,甚至胎儿死亡。在超声检查中,该病可能是首选的检查方法。超声医师应提高对该病的产前诊断认识,因为它对产科处理和新生儿治疗具有重要的临床价值,从而有可能改善不良妊娠结局。

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