Favorable outcome after fetal swallowing of a Somatex® intrauterine shunt.

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Archives of Gynecology and Obstetrics Pub Date : 2024-11-02 DOI:10.1007/s00404-024-07802-w
A Rejaey, I Gottschalk, E C Weber, A Messling, J Hubertus, C Berg
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Abstract

This report describes the ingestion of a dislodged Somatex Intrauterine Stent by the fetus. At 35 weeks one shunt was visualized in the fetal stomach, suggesting that the fetus had swallowed it. The shunt kept its position in the stomach until the last follow up scan at 37 weeks. At 38 weeks the patient went into spontaneous labor and vaginally delivered a boy weighting 3590 g. The first chest X-ray on the day of birth demonstrated the dislodged shunt in the duodenum while the other shunt drained the left kidney. The mother started breastfeeding. The x-ray on the second day of life was made after removal of the second shunt and the creation of a nephrostoma and demonstrated the dislodged shunt in the ileum. On the third day of life the shunt was found in the neonate's stool. The neonate was dismissed on day 7 with antibiotic prophylaxis. To our best knowledge this is the first report of an intrauterine ingestion of a Somatex Intrauterine Stent. It demonstrates that in the intrauterine period the shunt remains in the stomach and starts to pass the bowel after birth, probably prompted by breastfeeding. In our case the shunt was eventually excreted without any damage to the digestive system.

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胎儿吞咽 Somatex® 宫内分流器后的良好结果。
本报告描述了胎儿吞食脱落的 Somatex 宫内支架的情况。在 35 周时,胎儿胃部发现一个分流管,表明胎儿吞食了该分流管。直到 37 周的最后一次随访扫描时,分流管仍在腹中。出生当天的第一次胸部 X 光检查显示,十二指肠中的分流管移位,而另一个分流管则排出了左肾。母亲开始母乳喂养。出生后第二天的 X 光片是在移除第二个分流管并形成肾前列腺瘤后拍摄的,显示回肠中的分流管移位。出生后第三天,在新生儿粪便中发现了分流管。第 7 天,新生儿在抗生素预防治疗下出院。据我们所知,这是第一例宫内摄入 Somatex 宫内支架的报告。它表明,在宫内期间,分流管一直留在胃里,出生后才开始排出肠道,这可能是母乳喂养的结果。在我们的病例中,分流管最终被排出体外,没有对消化系统造成任何损害。
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来源期刊
CiteScore
4.70
自引率
15.40%
发文量
493
审稿时长
1 months
期刊介绍: Founded in 1870 as "Archiv für Gynaekologie", Archives of Gynecology and Obstetrics has a long and outstanding tradition. Since 1922 the journal has been the Organ of the Deutsche Gesellschaft für Gynäkologie und Geburtshilfe. "The Archives of Gynecology and Obstetrics" is circulated in over 40 countries world wide and is indexed in "PubMed/Medline" and "Science Citation Index Expanded/Journal Citation Report". The journal publishes invited and submitted reviews; peer-reviewed original articles about clinical topics and basic research as well as news and views and guidelines and position statements from all sub-specialties in gynecology and obstetrics.
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