怀孕期间巨大的逆质量与意想不到的诊断:卵巢囊或别的东西?
Maria J Guaman1, Alejandra Vargas2, Isis X Muñoz3
1Faculty of Medicine, Universidad Católica Boliviana "San Pablo", Santa Cruz de la Sierra, BOL.
Cureus
|October 15, 2025
概括
一个罕见的巨型逆腹膜水囊被诊断出来,并在一个孕妇身上进行了手术. 这一案例凸显了在怀孕中怀有异型腹部质量的孕妇中考虑水虫病的重要性.
科学领域:
- 产科和妇科 产科和妇科
- 手术病理学手术病理学
- 放射学 放射学是一门学科.
背景情况:
- 怀孕期间腹部质量很罕见,诊断挑战很常见.
- 与怀孕相关的解剖学和生理学变化可能会使质量评估复杂化.
- 怀孕期间的成像限制需要仔细的诊断考虑.
研究的目的:
- 报告一个孕妇患有巨型逆皮质水囊的病例.
- 强调怀孕期间异常腹部质量的诊断考虑.
- 为了说明怀孕期间手术干预的安全性和有效性.
主要方法:
- 一个30岁的孕妇在怀孕30周的案例介绍.
- 诊断工作包括超声波和进一步的成像,以描述腹部质量.
- 通过探索性腹腔切除与部分切除进行了手术管理.
主要成果:
- 鉴定出一个巨大的背膜囊性病变,>25厘米.
- 组织病理学证实了一种良性上腺水囊.
- 患者在39周成功接受了剖腹产分娩,对母亲和新生儿的结果有利.
结论:
- 在怀孕期间对腹部质量的差异诊断中,应考虑逆关节病理.
- 虽然很少见,但在异常成像发现的特有地区,水虫病是可能的.
- 在怀孕期间手术治疗这种质量是可行的,在多学科环境中是安全的.
相关概念视频
Assessment of the Rectum and Anus
1.1K
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
1.1K
Appendicitis-I: Introduction
2.2K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
2.2K
Appendicitis-II: Diagnostic Studies and Management
508
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
508
Nursing Assessment of the Genitourinary System II: Inspection and Palpation
740
The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
740


