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一种用于产前双侧肾缺如诊断的新超声标志物——主动脉节段性前向移位。

A new sonographic marker in the diagnosis of prenatal bilateral renal agenesis, segmental anterior deviation of the aorta.

作者信息

Özdemir Halis, Özdemir Belma Gözde, Kavak Songül Yerlikaya, Şık Şule

机构信息

Department of Obstetrics, Gynecology and Reproductive Sciences, Division of Perinatology, Malatya Turgut Özal University Training Research Hospital, Malatya, Turkey.

Department of Pathology, Malatya Turgut Özal University Training Research Hospital, Malatya, Turkey.

出版信息

Case Rep Perinat Med. 2022 Jul 12;11(1):20220001. doi: 10.1515/crpm-2022-0001. eCollection 2022 Jan.

DOI:10.1515/crpm-2022-0001
PMID:40041229
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11800677/
Abstract

OBJECTIVES

Bilateral renal agenesis is a rare congenital anomaly that is associated with high neonatal mortality. Bilateral renal agenesis is most often present with anhydramniosis in the mid-trimester.

CASE PRESENTATION

We report a case of bilateral renal agenesis diagnosed prenatally. We presented the ultrasound and pathology images of this fetus with a new sonographic sign, segmental anterior deviation in the abdominal aorta.

CONCLUSIONS

To our knowledge, this is the first reported case of a fetus with a segmental aortic anterior deviation.

摘要

目的

双侧肾缺如为一种罕见的先天性异常，与新生儿高死亡率相关。双侧肾缺如在孕中期最常伴有羊水过少。

病例报告

我们报告一例产前诊断为双侧肾缺如的病例。我们展示了该胎儿的超声和病理图像，并伴有一种新的超声征象，即腹主动脉节段性前偏。

结论

据我们所知，这是首例报告的具有主动脉节段性前偏的胎儿病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f42/11800677/f1b3da58370c/j_crpm-2022-0001_fig_004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f42/11800677/b80e975abb8d/j_crpm-2022-0001_fig_001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f42/11800677/d68f1c2d7092/j_crpm-2022-0001_fig_002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f42/11800677/668ef4238cab/j_crpm-2022-0001_fig_003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f42/11800677/f1b3da58370c/j_crpm-2022-0001_fig_004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f42/11800677/b80e975abb8d/j_crpm-2022-0001_fig_001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f42/11800677/d68f1c2d7092/j_crpm-2022-0001_fig_002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f42/11800677/668ef4238cab/j_crpm-2022-0001_fig_003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f42/11800677/f1b3da58370c/j_crpm-2022-0001_fig_004.jpg

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本文引用的文献

1
Update on the Prenatal Diagnosis and Outcomes of Fetal Bilateral Renal Agenesis.胎儿双侧肾发育不全的产前诊断及结局更新。
Obstet Gynecol Surv. 2019 May;74(5):298-302. doi: 10.1097/OGX.0000000000000670.
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"Lying-Down" Adrenal Sign: There Are Exceptions to the Rule Among Fetuses and Neonates.“卧位”肾上腺征：胎儿和新生儿中存在该规则的例外情况。
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Renal development in the fetus and premature infant.胎儿和早产儿的肾脏发育
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Ultrasound diagnosis of fetal renal abnormalities.超声诊断胎儿肾脏异常。
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The early prenatal sonographic diagnosis of renal agenesis: techniques and possible pitfalls.肾缺如的产前早期超声诊断：技术与可能的陷阱
Prenat Diagn. 1994 Apr;14(4):291-7. doi: 10.1002/pd.1970140409.
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The value of color Doppler sonography in the diagnosis of renal agenesis.彩色多普勒超声在肾缺如诊断中的价值。
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