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頁籤選單縮合
題名 | Congenital Megacystis: A Case Report=先天性巨大膀胱症:一病例報告 |
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作者 | 彭海祁; | 書刊名 | 中華醫學雜誌 |
卷期 | 61:4 1998.04[民87.04] |
頁次 | 頁235-238 |
分類號 | 417.577 |
關鍵詞 | 先天性巨大膀胱症; 產前診斷; Congenital megacystis; Prenatal diagnosis; |
語文 | 英文(English) |
中文摘要 | 先天性巨大膀胱症十分罕見,本院一女嬰在母親妊娠二十八週時,經超音波檢查, 發現腹部有一巨大囊腫,初生後有腹脹、餵食困難及嘔吐的現象。腹部超音波及電腦斷層都 證實為腹部囊腫,初生後第四天手術,才發現此囊腫為一巨大的膀胱,病嬰並無膀胱遠端尿 路阻塞現象,也無其他異常。經切除部份膀胱後,疾病得到痊癒,追蹤八個月無任何異常現 象。由於這種疾病非常少見,特提出此例,以供日後鑑別診斷新生兒腹部囊腫之考慮。 |
英文摘要 | Congenital megacystis without other anomalies is extremely rare. A female newborn, delivered by cesarean section at the gestational age of 36 weeks, was seen. Her prenatal sonogram at 28 weeks' gestation had demonstrated a large cystic lesion in the abdomen. Abdominal distention with a palpable mass, difficult feeding and vomiting were noted after delivery. Abdominal computed tomography scan revealed a large cyst in the middle abdomen without any other anomaly. Exploratory laparotomy was performed on the fourth day of life, and showed a large bladder with normal trigon and normal ureteral insertion. There was no abnormality of other abdominal organs. Reductive cystoplasty was performed and the post-operative course was uneventful. The infant was doing well after an eight-month follow-up. Although congenital megacystis is rare, it should be considered in the differential diagnosis of any intra-abdominal cystic lesion demonstrated in a prenatal sonogram. The etiology is obscure, and the benefit of reductive cystoplasty needs more cases to be confirmed. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。