https://scholars.lib.ntu.edu.tw/handle/123456789/547755
標題: | Lethal fetal stroke in utero | 作者: | Lin T.-H. CHIEN-NAN LEE Su Y.-N. |
公開日期: | 2013 | 卷: | 52 | 期: | 2 | 起(迄)頁: | 264-266 | 來源出版物: | Taiwanese Journal of Obstetrics and Gynecology | 摘要: | Objective: Fetal intracranial hemorrhage (ICH) in utero is a rare complication of pregnancy associated with subsequent neurological sequelae or fetal death. Case report: A 34-year-old woman with Crohn's disease presented at 36 weeks' gestation due to decreased fetal movement. Fetal heart-rate tracing indicated poor beat-to-beat variability. In addition, a Doppler ultrasonography suggested a prenatal stroke with evidences of ICH, reverse-end diastolic velocity of the middle cerebral artery, and a persistent distended bladder. A nonaggressive treatment option was chosen after counseling about the unfavorable prognosis. However, 22 hours after her admission, intrauterine fetal death occurred. Conclusion: Fetal ICH in utero might be a rare yet lethal complication of Crohn's disease in pregnancy. ? 2013, Taiwan Association of Obstetrics & Gynecology. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84881023524&doi=10.1016%2fj.tjog.2013.04.019&partnerID=40&md5=82b3a40728907e310dbfdf489c1d185f https://scholars.lib.ntu.edu.tw/handle/123456789/547755 |
ISSN: | 1028-4559 | DOI: | 10.1016/j.tjog.2013.04.019 | SDG/關鍵字: | hemoglobin; mesalazine; prokinetic agent; adult; anemia; article; autopsy; bladder distension; brain blood flow; brain hemorrhage; case report; colon intussusception; colon perforation; conservative treatment; cordocentesis; Crohn disease; Doppler flowmetry; female; fetal intracranial hemorrhage; fetus; fetus death; fetus disease; fetus echography; fetus heart rate; fetus movement; gestation period; hemoglobin blood level; hospital admission; human; intracranial hypertension; labor induction; medical history; middle cerebral artery; nuclear magnetic resonance imaging; postoperative care; pregnancy complication; prognosis; reverse end diastolic velocity; shift to the left; temporal lobe; vaginal delivery; Crohn's disease; fetal cerebral hemorrhage; fetal intracranial hemorrhage; fetal intraventricular hemorrhage; fetal stroke; Adult; Crohn Disease; Fatal Outcome; Female; Fetal Death; Fetal Diseases; Humans; Intracranial Hemorrhages; Magnetic Resonance Imaging; Pregnancy; Pregnancy Complications; Stroke; Ultrasonography, Prenatal |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。