Giant fetal hydrometrocolpos associated with cloacal anomaly causing postnatal respiratory distress
Giant fetal hydrometrocolpos associated with cloacal anomaly causing postnatal respiratory distress
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DOI：
10.1111/jog.13433
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发表时间：
2017-07
影响因子：
1.6
通讯作者：
Tatsuhito Kanda;Takashi Iizuka;R. Yamazaki;Junpei Iwadare;M. Ono;H. Fujiwara
中科院分区：
文献类型：
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作者：
Tatsuhito Kanda;Takashi Iizuka;R. Yamazaki;Junpei Iwadare;M. Ono;H. Fujiwara
泄殖腔存留是一种罕见的表现，其中尿道，阴道和直肠汇聚成一个共同的通道，只有一个会阴开口。胎儿子宫阴道积水可能导致如果液体积聚在后面的障碍，这一共同的渠道。1例29岁女性（G4 P1021）在妊娠36 2/7周时转诊评价胎儿腹部囊性肿块。详细的超音波及磁振造影显示两个对称的囊状肿块、双侧肾积水及羊水过少。选择性剖宫产分娩在37 0/7周，婴儿体重4043克，Apgar评分为5和6分，在1和5分钟。插管进行呼吸窘迫，并注意到婴儿有一个imperialanus;持续泄殖腔被诊断为。引流子宫阴道积水后，婴儿呼吸明显改善，并拔管。这个孩子的影像学检查结果是有史以来报道的最大的，并导致新生儿呼吸窘迫。
Persistent cloaca is a rare presentation wherein the urethra, vagina, and rectum converge into a common channel with a single perineal opening. Fetal hydrometrocolpos can result if fluid accumulates behind an obstruction of this common channel. A 29‐year‐old woman (G4P1021) was referred at 36 2/7 weeks of gestation for evaluation of a fetal abdominal cystic mass. Detailed ultrasonography and magnetic resonance imaging showed two symmetric cystic masses, bilateral hydronephrosis, and oligohydramnios. Elective cesarean delivery was performed at 37 0/7 weeks; the baby weighed 4043 g with Apgar scores of 5 and 6 at 1 and 5 min. Intubation was performed for respiratory distress, and the infant was noted to have an imperforate anus; persistent cloaca was diagnosed. Drainage of the hydrometrocolpos improved the infant's breathing remarkably, and extubation was achieved. This child's imaging findings are among the largest ever reported, and resulted in neonatal respiratory distress.