Amniotic fluid 'sludge' detected in patients with subchorionic hematoma: a report of two cases
Amniotic fluid 'sludge' detected in patients with subchorionic hematoma: a report of two cases
复制标题
DOI：
10.1002/uog.6348
复制
发表时间：
2009-04-01
影响因子：
7.1
通讯作者：
Kimura, T.
中科院分区：
文献类型：
--
作者：
Tskitishvili, E.;Tomimatsu, T.;Kimura, T.
羊水“淤渣”是指在宫颈内口附近存在密集的颗粒物聚集体。它在自然分娩高危的无症状患者以及早产和胎膜完整的患者中具有临床意义。绒毛膜下血肿是另一个超声发现，与先兆流产和早产的发生率较高。我们报告两例发生羊水污泥的患者先前发现大绒毛膜下血肿。第1例分别于孕13 + 1周和18 + 6周超声检查发现绒毛膜下血肿和羊水污泥，随后发生早产胎膜早破、胎盘早剥和紧急剖宫产。在第二个病例中，超声分别在妊娠11 + 3周和15 + 5周检测到绒毛膜下血肿和羊水污泥，随后流产并伴有组织学绒毛膜炎。这些病例中绒毛膜下血肿和羊水污泥的巧合表明这两个重要的超声检查结果之间可能存在联系。版权所有（C）2009 ISUOG，由John Wiley & Sons，Ltd.
Amniotic fluid 'sludge' is defined as the presence of dense aggregates of particulate matter in close proximity to the internal cervical os. It is of clinical significance in asymptomatic patients at high risk for spontaneous delivery, and in patients with preterm labor and intact membranes. Subchorionic hematoma is another ultrasound finding that is associated with a higher incidence of threatened miscarriage and preterm delivery. We report two cases of occurrence of amniotic fluid sludge in patients with previously detected large subchorionic hematoma. In the first case subchorionic hematoma and amniotic fluid sludge were detected by ultrasonography at 13 + 1 and 18 + 6 weeks' gestation, respectively, followed by preterm premature rupture of membranes, placental abruption and emergency Cesarean section. In the second case subchorionic hematoma and amniotic fluid sludge were detected by ultrasound at 11 + 3 and 15 + 5 weeks' gestation, respectively, followed by miscarriage with histological chorioamnionitis. The coincidence of subchorionic hematoma and amniotic fluid sludge in these cases points to a possible connection between these two significant ultrasound findings. Copyright (C) 2009 ISUOG, Published by John Wiley & Sons, Ltd.