Iuchtman M, Abudi Z, Yurman S, Koren I, Kessler F B
Department of Surgery A (Pediatric Surgery), Hillel Yaffe Medical Center, Hadera, Israel.
Eur J Pediatr Surg. 1994 Apr;4(2):122-4. doi: 10.1055/s-2008-1066084.
Routine ultrasound examination in a pregnant 20-year-old woman at 32 weeks demonstrated a cystic structure in the fetal abdomen. Follow-up till term showed no substantial change in size. After birth the cyst could easily be palpated as an epigastric mass. Ultrasonography followed by a barium meal suggested, among other things, the diagnosis of gastric duplication. At exploratory laparotomy the cyst proved to be of adrenal origin. The diagnosis and therapeutic options are discussed.
一名20岁孕妇在孕32周时进行的常规超声检查显示胎儿腹部有一个囊性结构。随访至足月,其大小无明显变化。出生后,囊肿很容易被触诊为上腹部肿块。超声检查后进行的钡餐检查等提示了胃重复畸形的诊断。在剖腹探查术中,囊肿被证明起源于肾上腺。文中讨论了诊断和治疗选择。