产前肠道血管意外继发小肠闭锁：病例报告

Antenatal intestinal vascular accident with subsequent small bowel atresia: case report.

作者信息

Kimber C P, MacMahon R A, Shekleton P, Yardley R

机构信息

Fetal Diagnostic Unit/Department of Paediatric Surgery, Monash Medical Centre, Melbourne, Australia.

出版信息

Ultrasound Obstet Gynecol. 1997 Sep;10(3):212-4. doi: 10.1046/j.1469-0705.1997.10030212.x.

DOI:10.1046/j.1469-0705.1997.10030212.x

PMID:9339530

Abstract

A woman was referred at 25 weeks' gestation with decreased fetal movements. Ultrasound revealed a large solid fetal abdominal mass and gross fetal ascites. Amniocentesis and viral titers were normal. On subsequent ultrasound examinations, the mass and ascites slowly disappeared, but a small bowel obstruction developed. Spontaneous labor occurred at 35 weeks and the child was born with a distended abdomen. At laparotomy there was type 3 jejunal atresia, indicating that the fetal mass and ascites were secondary to this antenatal small bowel ischemia.

摘要

一名妊娠25周的女性因胎动减少前来就诊。超声检查发现胎儿腹部有一个巨大实性肿块及大量胎儿腹水。羊水穿刺和病毒滴度检查结果正常。在随后的超声检查中，肿块和腹水逐渐消失，但出现了小肠梗阻。孕35周时自然分娩，婴儿出生时腹部膨隆。剖腹探查发现为3型空肠闭锁，提示胎儿肿块和腹水是产前小肠缺血的继发表现。