一个患有唐氏综合征的女性的巨型膀:一个案例报告
Syameme Padzel1, Farnaza Ariffin1, Salma Yasmin Mohd Yusuf1
1Department of Primary Care Medicine, Jalan Hospital, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia.
The American journal of case reports
|July 24, 2024
概括
一个罕见的非神经性神经性膀病例导致唐氏综合征妇女的巨大的尿膀,最初被误认为是卵巢瘤. 这凸显了认识到膀膨胀作为潜在的卵巢病理学模仿的重要性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科 妇科 妇科
- 放射学 放射学是一门学科.
背景情况:
- 非神经性神经性膀呈现出因神经学上完整的个体在排泄过程中因非自愿的肌肉收缩而波动的尿流率.
- 从卵巢瘤区分大规模的膀膨胀是一个重大的诊断挑战.
- 巨大的膀模仿卵巢瘤是一种罕见的临床表现.
研究的目的:
- 为了报告一个患有唐氏综合征的患者巨大的尿膀的独特案例.
- 强调诊断难度在区分膀膨胀从卵巢病理学.
- 强调在差异诊断中考虑非神经性神经性膀的重要性.
主要方法:
- 一个31岁的唐氏综合征妇女的病例报告,呈现出暗示卵巢瘤的症状.
- 最初的诊断工作包括超声波和瘤标记物.
- 计算机断层扫描 (CT) 扫描被用于最终的成像和诊断.
主要成果:
- 最初的超声波显示出一个大的盆腔囊性病变,导致怀疑卵巢瘤.
- 正常的瘤标志物并不排除卵巢病理.
- CT扫描证实大规模膨胀的膀 (11.6×13.6×17.6厘米),导致双边阻塞性尿路病,中度水,和水尿.
结论:
- 这一案例凸显了对巨型膀作为潜在的卵巢瘤模仿者的临床意识提高的迫切需要.
- 非神经性神经性膀应考虑在大的盆腔质量差异诊断,特别是在患有唐氏综合征的患者.
- 及时诊断和管理,包括间歇性导管和行为修改,对于有效治疗和预防并发症至关重要.
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