Tseng C W, Chao A S, Chang F H, Chang S Y, Soong Y K
Department of Obstetrics & Gynecology, Chang Gung Memorial Hospital, Kaohsiung, Taiwan, R.O.C.
Changgeng Yi Xue Za Zhi. 1997 Mar;20(1):58-61.
Meconium peritonitis is an uncommon chemical peritonitis of a fetus resulting from antenatal bowel perforation. We reported a case of meconium peritonitis with pseudocystic formation diagnosed by color Doppler energy (CDE) at 34 gestational weeks. An echogenic substance inside a fetal abdominal mass was detected using ultrasound. By conventional color Doppler, there was minimal blood flow in the cystic wall or septums of the mass. Using CDE, bowel hyperperistalsis was observed in multiple small bowel loops and the region of intestinal loops into the mass was easily detected. Therefore, the angle independent nature of CDE will play a significant role in the early and accurate diagnosis of meconium peritonitis before birth.
胎粪性腹膜炎是一种因产前肠穿孔导致的胎儿罕见化学性腹膜炎。我们报告了一例在孕34周时经彩色多普勒能量图（CDE）诊断为伴有假性囊肿形成的胎粪性腹膜炎病例。使用超声检测到胎儿腹部肿块内有一强回声物质。通过传统彩色多普勒检查，肿块的囊壁或分隔内血流极少。使用CDE时，观察到多个小肠袢有肠道蠕动增强，且易检测到进入肿块的肠袢区域。因此，CDE的角度无关特性在产前胎粪性腹膜炎的早期准确诊断中将发挥重要作用。
