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膀胱破裂导致的胎儿尿性腹水：后尿道瓣膜的一种罕见并发症。

Fetal Urinary Ascites From Bladder Rupture: A Rare Complication of Posterior Urethral Valve.

作者信息

Deshmukh Asawari, Deshmukh Sanika

机构信息

Radiology and Fetal Medicine, Dhruv Diagnostic and Imaging Clinic, Nagpur, IND.

Radiodiagnosis, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, IND.

出版信息

Cureus. 2024 Aug 8;16(8):e66462. doi: 10.7759/cureus.66462. eCollection 2024 Aug.

DOI:10.7759/cureus.66462
PMID:39246962
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11380544/
Abstract

Prenatal ultrasonography (USG) plays a crucial role in diagnosing fetal urinary tract anomalies and distinguishing between lower urinary tract obstructive (LUTO) and neurological causes (seen with spinal dysraphism, myelomeningocele, meningocele, and sacral agenesis) of urinary bladder distension. Fetal urinary ascites, a rare but severe complication, can result from bladder rupture associated with obstructive uropathy such as posterior urethral valves (PUV). This case study presents a rare instance of fetal urinary ascites due to PUV detected during prenatal ultrasonography at 20 weeks of gestation (WOG). By highlighting this uncommon but clinically significant condition, we aim to enhance the understanding and management of similar cases in clinical practice.

摘要

产前超声检查（USG）在诊断胎儿泌尿系统异常以及区分下尿路梗阻（LUTO）和膀胱扩张的神经学原因（如脊柱裂、脊髓脊膜膨出、脊膜膨出和骶骨发育不全）方面起着关键作用。胎儿尿腹水是一种罕见但严重的并发症，可由与诸如后尿道瓣膜（PUV）等梗阻性尿路病相关的膀胱破裂引起。本病例研究呈现了一例罕见的因妊娠20周（WOG）产前超声检查时发现的后尿道瓣膜导致的胎儿尿腹水病例。通过强调这种罕见但具有临床意义的情况，我们旨在提高临床实践中对类似病例的认识和管理水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7d3/11380544/55783ee1fb20/cureus-0016-00000066462-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7d3/11380544/5a88219876ac/cureus-0016-00000066462-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7d3/11380544/55783ee1fb20/cureus-0016-00000066462-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7d3/11380544/5a88219876ac/cureus-0016-00000066462-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7d3/11380544/55783ee1fb20/cureus-0016-00000066462-i02.jpg

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本文引用的文献

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Prenatal Diagnoses and Intervention.产前诊断与干预。
Urol Clin North Am. 2023 Aug;50(3):351-359. doi: 10.1016/j.ucl.2023.04.006. Epub 2023 May 26.
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Urinary Ascites Secondary to Bladder Perforation in a Neonate with Posterior Urethral Valves.患有后尿道瓣膜的新生儿膀胱穿孔继发尿腹水
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Prenatally detected posterior urethral valves: qualitative assessment of second trimester scans and prediction of outcome.产前检测到的后尿道瓣膜：孕中期超声扫描的定性评估及预后预测
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