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[妊娠合并肠梗阻性肠套叠,由良性神经鞘瘤引起。腹部超声心动图在术前诊断中的作用]

[Intestinal intussusception in pregnancy with obstruction, caused by benign neurilemmoma. Role of abdominal echocardiography in the preoperative diagnosis].

作者信息

Insegno W, Fiorone E, Castrati G, Turtulici G, Palladino M

机构信息

Divisione di Ostetricia e Ginecologia, Chirurgia, Radiologia, Ospedale Evangelico Internazionale, Genova.

出版信息

Minerva Ginecol. 1996 Nov;48(11):505-9.

PMID:9005380
Abstract

A rare case of intestinalm obstruction caused by intussusception of the small bowel due to an intraparietal benign neurilemmoma (synonym: benign schwannoma) in a patient 35th weeks pregnant is reported. It is assumed that intestinal intussusception during pregnancy is a rare complication and the diagnosis is made difficult due to the pregnancy itself, delaying the onset of symptoms and treatment. The echography was the determining factor for the diagnosis. The conclusion is drawn that surgical operation, associated or not with the cesarean section, should be carried out as quickly as possible in order to reduce the mortality rate both maternal and fetal.

摘要

报告了一例罕见病例,一名怀孕35周的患者因壁内良性神经鞘瘤(同义词:良性施万细胞瘤)导致小肠套叠,进而引起肠梗阻。据推测,妊娠期肠套叠是一种罕见的并发症,由于妊娠本身,诊断变得困难,症状出现延迟且治疗延误。超声检查是诊断的决定性因素。得出的结论是,应尽快进行手术,无论是否与剖宫产同时进行,以降低母婴死亡率。

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