Azanu Wisdom Klutse, Sakyi Afia Tabua, Adamu Aishah Fadila, Obeng Frank
Department of Obstetrics and Gynaecology, University of Health and Allied Sciences, P. O. Box PMB 31, Ho, Volta Region, Ghana.
Department of Obstetrics and Gynaecology, Ho Teaching Hospital, P. O. Box, MA 374, Ho, Ghana.
Case Rep Womens Health. 2024 Oct 9;44:e00656. doi: 10.1016/j.crwh.2024.e00656. eCollection 2024 Dec.
This case report describes the successful management of a 16-year-old primigravida of Black African descent who had undergone Mainz-II ureterosigmoidostomy during infancy. Mainz-II ureterosigmoidostomy as a urinary diversion presents unique management challenges, particularly in pregnant patients. The patient presented to the antenatal clinic after a spontaneously achieved pregnancy; she had normal findings on obstetric and renal ultrasound scans throughout her pregnancy. At 38 weeks of gestation, an elective caesarean section was performed; the absence of the urinary bladder and the intact condition of the Mainz-II pouch were confirmed. A healthy biological male infant weighing 2.3 kg was delivered. Postoperatively, the patient experienced a mild superficial surgical site infection but otherwise had an uneventful recovery. This case underscores the importance of comprehensive prenatal care and meticulous surgical planning in managing pregnancies in patients with complex urinary diversions, and demonstrates that favorable maternal and neonatal outcomes can be achieved with appropriate medical oversight.
本病例报告描述了一名16岁初产妇的成功管理过程，该产妇为非洲裔黑人，婴儿期曾接受迈因茨II式输尿管乙状结肠吻合术。迈因茨II式输尿管乙状结肠吻合术作为一种尿流改道术，带来了独特的管理挑战，尤其是在孕妇中。患者在自然受孕后到产前诊所就诊；整个孕期产科和肾脏超声检查结果均正常。妊娠38周时，进行了择期剖宫产；确认膀胱缺如且迈因茨II式贮尿囊完好无损。一名体重2.3千克的健康男婴顺利分娩。术后，患者经历了轻度浅表手术部位感染，但其他方面恢复顺利。本病例强调了在管理复杂尿流改道患者的妊娠过程中，全面产前护理和精心手术规划的重要性，并表明通过适当的医疗监督可以实现良好的母婴结局。
