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OEIS复杂畸形2例 被引量：1

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摘要 病例一，女，6岁，因“出生后发现下腹壁缺损伴外生殖器异常、无肛”入院。患儿出生后发现无肛门，大小便自会阴部同一开口排出，伴腹壁缺损及黏膜样组织外翻，当地医院考虑畸形较严重，几年来一直未治疗，入院前出现排便困难，及腹壁外翻组织有少许渗液流出而转至本院，体格检查：腹软，略胀，未见正常脐部，耻骨联合、腹直肌分离，下腹部腹壁见局部组织发育异常，两处皮肤缺损，伴鲜红色黏膜样组织外翻，大小分别约2．5 cm ×3 cm、3 cm ×2 cm，组织表面见淡黄色渗液，会阴部无正常尿道、阴道和肛门，大阴唇处见皮赘一枚，上翻皮赘见一直径约1 cm开口，大小便均自此开口排出（图1 a、b）。
作者 孙会振 徐伟珏 黄雄 应灏 余玲 陈方 谢华
机构地区 上海市儿童医院上海交通大学附属儿童医院
出处 《临床小儿外科杂志》 CAS 2014年第4期363-364,366,共3页 Journal of Clinical Pediatric Surgery
关键词 复杂畸形 局部组织 腹壁缺损 外生殖器异常 腹直肌分离 排便困难 体格检查 耻骨联合
分类号 R541.104 [医药卫生—心血管疾病]
  • 相关文献

参考文献21

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同被引文献35

  • 1何光智,方耿周,吴一彬,戴蔚平,王茜,孔卫萍,陈文娟,钟晶,杨梅青.实时三维彩色多普勒超声诊断胎儿典型Cantrell五联症合并心脏畸形一例[J].中华医学超声杂志（电子版）,2013,10(4):341-343. 被引量：7
  • 2Cantrell JR, Hailer JA, Ravitch MM. A syndrome of congenital defects involving the abdominal wall, sternum, diaphragm,pericardium, and heart [ J ]. Surg Gynecol Obstet, 1958, 107: 602 - 614.
  • 3Pirasteh A, Carcano C, Kirsch J, et al. Pentalogy of cantrell with ectopia cordis: CT findings [ J ]. J Radiol Case Rep, 2014, 8 (12) : 29 -34.
  • 4Toyama WM. Combined congenital defects of the anterior abdominal wall, sternum, diaphragm, pericardium, and heart: a case report and review of the syndrome [J]. Pediatrics, 1972, 50 (5) : 778 - 792.
  • 5Bonilla - Musoles F, Machado LE, Bailao LA, et al. Abdominal wall defects: two - versus three - dimensional uhrasonographic diagnosis [J]. J Ultrasound Med, 2001, 20 (4): 379-389.
  • 6Naburi H, Assenga E, Patel S, et al. Class lI pentalogy of Cantrell [J]. BMC ResNotes, 2015, 8: 318.
  • 7Jagtap SV, Shukla DB, Jain A, et al. Complete pentalogy of Cantrell (POC) with phocomelia and other associated rare anomalies [J]. j Clin Diagn Res, 2014, 8 (5) : FD4-5.
  • 8Ludwig K, Salmaso R, Cosmi E, et al. Pentalogy of cantrell with complete ectopia cordis in a fetus with asplenia [ J ]. Pediatr Dev Pathol, 2012, 15 (6): 495-498.
  • 9Ttirkqapar AF, Sargin Oruc A, 0kstizoglu A, et al. Diagnosis of peutalogy of cantrell in the first trimester using transvaginal sonography and color doppler [ J ]. Case Rep Obstet Gynecol, 2015, 2015: 179298.
  • 10Kaouthar H, Jihen A, Faten J, et al. Cardiac anomalies in Cantrell's pentalogy: from ventricular diverticulum to complete thoracic ectopia cordis [ J]. Cardiol Tunis, 2013, 9 ( 1 ) : 94 -97.

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临床小儿外科杂志
2014年 第4期

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