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孤立性胎儿阴道积血积水的产前诊断:一例报告

Prenatal diagnosis of isolated fetal hydrometrocolpos: A case report.

作者信息

Bannour Badra, Abbassi Hafedh, Guerbej Ekram, Bannour Imen, Boughizane Sassi

机构信息

Obstetrics and Gynecology Department, University Hospital Farhat Hached of Sousse, University of Sousse, Sousse, Tunisia.

出版信息

Radiol Case Rep. 2024 Sep 23;19(12):6147-6151. doi: 10.1016/j.radcr.2024.08.150. eCollection 2024 Dec.

Abstract

A rare congenital condition known as hydrometrocolpos (HMC) is characterized by the buildup of secretions in the vagina and uterus as a result of distal obstruction; this condition is frequently linked to imperforate hymen. This case report presents a prenatal diagnosis of isolated HMC in a 30-year-old primigravida, detected at 36 weeks gestation. Initial ultrasound revealed a large cystic mass, confirmed by fetal magnetic resonance imaging to be HMC. Postnatal examination of the new born confirmed imperforate hymen and HMC, which was effectively treated with hymenotomy, resulting in early resolution. This case underscores the importance of prenatal imaging in the early identification and management of HMC to prevent potential complications.

摘要

一种罕见的先天性疾病,称为阴道子宫积水(HMC),其特征是由于远端梗阻导致阴道和子宫内分泌物积聚;这种情况常与处女膜闭锁有关。本病例报告介绍了一名30岁初产妇妊娠36周时孤立性HMC的产前诊断。最初的超声检查发现一个大的囊性肿块,胎儿磁共振成像证实为HMC。新生儿产后检查证实为处女膜闭锁和HMC,通过处女膜切开术进行了有效治疗,从而早期治愈。本病例强调了产前成像在早期识别和管理HMC以预防潜在并发症方面的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d14/11456795/1bcf071231b2/gr1.jpg

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