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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.

DOI:10.1016/j.radcr.2024.08.150
PMID:39376953
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11456795/
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/9d14/11456795/264afe550162/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d14/11456795/1bcf071231b2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d14/11456795/9e181174035c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d14/11456795/264afe550162/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d14/11456795/1bcf071231b2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d14/11456795/9e181174035c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d14/11456795/264afe550162/gr3.jpg

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本文引用的文献

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Hydrometrocolpos and Post-axial Polydactyly Complicated With Acute Intestinal Obstruction and Hydroureteronephrosis.阴道积血和多指畸形合并急性肠梗阻及肾盂输尿管积水
Cureus. 2021 Aug 31;13(8):e17612. doi: 10.7759/cureus.17612. eCollection 2021 Aug.
2
Congenital anomalies causing hemato/hydrocolpos: imaging findings, treatments, and outcomes.先天性异常导致的血液/积水性阴户:影像学表现、治疗方法和结局。
Jpn J Radiol. 2021 Aug;39(8):733-740. doi: 10.1007/s11604-021-01115-7. Epub 2021 Apr 11.
3
[Urinary Retention Due to Hematocolpos].
[血性阴道积血导致的尿潴留]
Acta Med Port. 2021 Mar 1;34(3):232-235. doi: 10.20344/amp.11912. Epub 2020 Sep 18.
4
Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome: a comprehensive update. Mayer-Rokitansky-Küster-Hauser(MRKH)综合征:全面更新。
Orphanet J Rare Dis. 2020 Aug 20;15(1):214. doi: 10.1186/s13023-020-01491-9.
5
Fetal hydrometrocolpos and congenital imperforate hymen: Prenatal and postnatal imaging features.胎儿阴道积水和先天性处女膜闭锁:产前和产后影像学特征
J Clin Ultrasound. 2018 Oct;46(8):549-552. doi: 10.1002/jcu.22588. Epub 2018 Mar 23.
6
Managing Bardet-Biedl Syndrome-Now and in the Future.巴德-比埃尔综合征的管理:现状与未来
Front Pediatr. 2018 Feb 13;6:23. doi: 10.3389/fped.2018.00023. eCollection 2018.
7
Hydrometrocolpos etiology and management: past beckons the present.处女膜闭锁的病因及治疗:往昔呼唤今朝。 (注:Hydrometrocolpos常见释义为处女膜闭锁,原文中该词使用可能有误,更准确的术语可能是Hymenolepsis,具体需结合专业语境判断,但根据指令要求按给定英文翻译为“处女膜闭锁” )
Pediatr Surg Int. 2018 Mar;34(3):249-261. doi: 10.1007/s00383-017-4218-9. Epub 2017 Nov 24.
8
Experience with neonatal hydrometrocolpos in the Niger Delta area of Nigeria: Upsurge or increased recognition?尼日利亚尼日尔三角洲地区新生儿阴道积水积脓的经验:是发病率激增还是诊断率提高?
Afr J Paediatr Surg. 2016 Oct-Dec;13(4):161-165. doi: 10.4103/0189-6725.194666.
9
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