孕29周伴胁腹痛的子宫后壁囊肿
Posterior sacculation of the uterus in a patient presenting with flank pain at 29 weeks of gestation作者机构：Dr.Department of Obstetrics University Hospital Inselspital Bern Effingerstrasse 102 3010 Bern Switzerland
出 版 物：《世界核心医学期刊文摘（妇产科学分册）》 (Core Journal in Obstetrics/Gynecology)
年 卷 期：2005年第1卷第8期
页 面：61-61页
学科分类：1002[医学-临床医学] 100211[医学-妇产科学] 10[医学]
主 题：子宫后壁 胁腹 妊娠晚期 妊娠并发症 肾盂扩张 围生期 子宫囊 早期诊断 肾孔
摘 要：BACKGROUND: Uterine sacculation is a rare complication of pregnancy and may cause substantial peripartal morbidity. CASE: A possible diagnosis of posterior uterine sacculation was raised when a 34-year-old Gravida 1 Para 1 presented with bilateral flank pain at 29 weeks. Sonographic and magnetic resonance imaging findings confirmed the diagnosis and demonstrated bilateral dilated renal pelvises. Bilateral nephrostomas were placed, offering the patient considerable relief. A healthy female newborn was delivered by cesarean at 34+1/7 weeks. Operative findings confirmed the posterior sacculation of the uterus. CONCLUSION: Early diagnosis of sacculation of the uterus is necessary to limit maternal and fetal morbidity and mortality. For a detailed evaluation of the pelvic anatomy, we recommend the use of magnetic resonance imaging in the third trimester.
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