【读片】产科疑难超声病例（232）：胎儿胆管囊肿破裂
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Case report 已经公布答案，请及时关注！
A 25-year-old woman, with a non-contributive history, presented to our unit at 31st week of pregnancy. Her previous sonography performed at 22 weeks was reported to be normal. Our ultrasound revealed an abdominal structure showed on the images below. No signs of aneuploidy were found. The parents refused amniocentesis and the neonate was delivered at 37 weeks. Postnatal sonography found an ascites in the neonate originating from the ruptured structure described above. The next day, the amount of intraperitoneal fluid had regressed.
一25岁孕妇孕31周来我处就诊，其没有明显既往病史。以前22周的超声检查报告正常。我们超声检查发现有下列异常结构，但未发现有非整倍体的征象。患者拒绝进行羊水穿刺，孕37周分娩一婴儿。产后新生儿超声发现了由于上述异常结构破裂导致的腹水。第二天腹腔积液的量减少了。
One month later the clinical examination of the baby was normal, but six weeks later the structure appeared again and the baby presented with signs of an acute abdomen requiring a surgical intervention. The final diagnosis was a bit different from that we presumed.
一个月后婴儿临床检查正常，但6周后再次出现了这种结构并且婴儿出现了急腹症的表现需要手术治疗。最终诊断与我们预期的稍有不同。
Images 1, 2:
下一病例：【读片】产科疑难超声病例（233）：这孩子的嘴到底怎么啦？
Case report 已经公布答案，请及时关注！
A 25-year-old woman, with a non-contributive history, presented to our unit at 31st week of pregnancy. Her previous sonography performed at 22 weeks was reported to be normal. Our ultrasound revealed an abdominal structure showed on the images below. No signs of aneuploidy were found. The parents refused amniocentesis and the neonate was delivered at 37 weeks. Postnatal sonography found an ascites in the neonate originating from the ruptured structure described above. The next day, the amount of intraperitoneal fluid had regressed.
一25岁孕妇孕31周来我处就诊，其没有明显既往病史。以前22周的超声检查报告正常。我们超声检查发现有下列异常结构，但未发现有非整倍体的征象。患者拒绝进行羊水穿刺，孕37周分娩一婴儿。产后新生儿超声发现了由于上述异常结构破裂导致的腹水。第二天腹腔积液的量减少了。
One month later the clinical examination of the baby was normal, but six weeks later the structure appeared again and the baby presented with signs of an acute abdomen requiring a surgical intervention. The final diagnosis was a bit different from that we presumed.
一个月后婴儿临床检查正常，但6周后再次出现了这种结构并且婴儿出现了急腹症的表现需要手术治疗。最终诊断与我们预期的稍有不同。
Images 1, 2:
