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酷似泪囊膨出的胎儿脑脊膜膨出罕见病例。

Unusual Case of Fetal Meningocele Mimicking Dacryocystocele.

作者信息

Mai Phuong Thi, Trinh Cong Thao, Hoang The Huan, Hoang Van Trung

机构信息

University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.

FV Hospital, Ho Chi Minh City, Vietnam.

出版信息

Glob Pediatr Health. 2024 Sep 22;11:2333794X241283175. doi: 10.1177/2333794X241283175. eCollection 2024.

Abstract

Meningocele, a rare subtype of cephalocele, can manifest in various positions and exhibit diverse characteristics. On the other hand, dacryocystocele, also a rare anatomical disorder, typically presents as a cyst located between the nose and the eye. Generally, distinguishing between these 2 lesions is not difficult. The presented case involves a fetus with suspected dacryocystocele, ultimately diagnosed postpartum as meningocele, underscoring the complexities in distinguishing between these conditions. The article details the patient's prenatal examinations, imaging findings, and the subsequent surgical intervention, highlighting the significance of meticulous diagnosis for effective prenatal management. The case illuminates the potential oversight and misdiagnosis challenges associated with atypical cephaloceles, contributing valuable insights for clinicians involved in prenatal diagnosis and management.

摘要

脑脊膜膨出是一种罕见的脑膨出亚型,可出现在不同位置并表现出多样的特征。另一方面,泪囊膨出也是一种罕见的解剖学疾病,通常表现为位于鼻和眼之间的囊肿。一般来说,区分这两种病变并不困难。本文介绍的病例是一名疑似泪囊膨出的胎儿,产后最终诊断为脑脊膜膨出,这凸显了区分这两种病症的复杂性。文章详细描述了患者的产前检查、影像学表现以及随后的手术干预,强调了精确诊断对有效产前管理的重要性。该病例揭示了非典型脑膨出可能存在的漏诊和误诊挑战,为参与产前诊断和管理的临床医生提供了宝贵的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35fd/11418249/199f01c0b6f2/10.1177_2333794X241283175-fig1.jpg

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