维尼克斯·卡塞奥萨 (Vernix caseosa) 的腹膜炎呈软组织质量
Laura Wharton1, Tessa Bonnett2, Emma Ferriman2
1Obstetrics and Gynaecology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK laura.wharton@nhs.net.
BMJ case reports
|June 3, 2025
概括
膜炎 (VCP) 是一种罕见的分娩并发症. 通过活检进行保守管理,在两例病例中导致完全康复,这表明它可能是稳定患者的安全选择.
科学领域:
- 产科和妇科 产科和妇科
- 手术病理学手术病理学
背景情况:
- 膜炎 (VCP) 是一种罕见的疾病.
- 它呈现为产后腹腔中非死性颗粒状炎症.
- 维CP通常是在剖腹产 (CS) 之后进行的,有急性腹痛和发烧,通常通过手术进行管理.
研究的目的:
- 报告两例出现腹部质量的VCP病例.
- 评估VCP的保守管理.
- 突出VCP作为CS的潜在未被诊断的并发症.
主要方法:
- 案例报告两名女性提出腹部质量4周后选择性CS.
- 诊断成像包括CT扫描显示软组织质量和腹结厚.
- 活检的组织学检查证实了与VCP一致的非结核性颗粒状炎症.
主要成果:
- 两名患者都出现了腹部质量和腹腔厚,可疑感染或恶性瘤.
- 活检证实了VCP在两种情况下.
- 这两名患者都成功地进行了保守的治疗,完全康复.
结论:
- 在剖腹产后,VCP是一种罕见但潜在的未被确诊的并发症.
- 在患有持续性腹痛后的患者中考虑VCP,特别是有可触摸的质量.
- 在某些患者中,通过活检进行诊断的保守管理可能是手术的安全替代方案.
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