关键词: Case report Esophageal atresia Interrupted inferior vena cava Prenatal ultrasound Tracheoesophageal fistula

来  源:   DOI:10.1007/s40477-024-00879-8

Abstract:
OBJECTIVE: This is an extremely rare case of complicated fetal esophageal atresia (EA) with tracheoesophageal fistula (TEF) and interrupted inferior vena cava (IVC) diagnosed by prenatal ultrsonography and successfully treated with surgical repair.
METHODS: A 35-year-old pregnant woman was referred to our center for prenatal ultrasound, and the fetus was found to have a series of abnormalities, such as an interrupted IVC associated with a dilated azygos vein, an upper neck pouch sign of the thorax, and polyhydramnios. With suspicion of EA with TEF and interrupted IVC, the infant was born at 39 weeks of gestation, and successfully underwent the surgical operation.
RESULTS: The baby was doing well after 21 months of follow-up.
CONCLUSIONS: It is beneficial for the prenatal ultrasonic diagnosis of EA with TEF in optimizing labor care, postpartum treatment, and prompting neonatal management.
摘要:
目的:这是一例极为罕见的复杂胎儿食管闭锁(EA)伴气管食管瘘(TEF)和下腔静脉中断(IVC)的产前超声诊断,并成功进行手术修复。
方法:一名35岁的孕妇被转诊到我们的产前超声中心,胎儿被发现有一系列的异常,例如与扩张的奇静脉相关的中断的IVC,胸部的上颈袋标志,和羊水过多。怀疑EA与TEF和中断的IVC,婴儿出生在怀孕39周,并成功进行了外科手术。
结果:经过21个月的随访后,婴儿表现良好。
结论:产前超声诊断TEF有利于优化产程护理,产后治疗,并促进新生儿管理。
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